NCCN Guidelines for Patients® | Non-Small Cell Lung Cancer - page 60

60
NCCN Guidelines for Patients
®
: Non-Small Cell Lung Cancer
Version 1.2014
Part 7: Treatment by cancer stage
Stage II tumors without invasion
Nonsurgical options
This chart lists treatment options for patients who are unable or refuse to have
surgery for stage II cancer without invasion. Treatment options are based on
whether cancer is or isn’t in lymph nodes. In either case, the goal of treatment is
to cure the cancer.
If tests find no cancer in your lymph nodes (N0), radiation therapy is
recommended. You may receive conventional radiation therapy. Conventional
radiation therapy gives radiation in small doses for weeks and targets both the
tumor and some normal tissue. One example is 3D-CRT. Then again, you may
receive a newer type of radiation therapy—SABR. The chance of cancer cells
remaining in the body after radiation is higher for some stage II cancers. In this
case, you may be given chemotherapy before radiation.
Tests may have found cancer in your intrapulmonary, peribronchial, or hilar lymph
nodes. This is scored as N1 disease. Read page 32 for more information. For N1
disease, chemoradiation is recommended.
Stage II
T2a, N0
T3, N0
Test results Primary treatment
Stage II
T1a, N1
T1b, N1
T2a, N1
T2b, N1
Radiation therapy
(including SABR)
Consider chemotherapy
for high-risk stage II
Chemoradiation
Definitions:
!
bronchus:
The airway that
enters the lung
Chest wall:
A layer of
muscles and ribs
lymph node:
A group of
disease-fighting cells
surgical margin:
The
normal-looking tissue
around a tumor
Read Part 6 for a
description of lung
cancer treatments.
3D-CRT
= three-
dimensional conformal
radiation therapy
SABR
= stereotactic
ablative radiotherapy
Acronyms:
1...,50,51,52,53,54,55,56,57,58,59 61,62,63,64,65,66,67,68,69,70,...108
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