NCCN Guidelines for Patients® | Non-Small Cell Lung Cancer - page 66

66
NCCN Guidelines for Patients
®
: Non-Small Cell Lung Cancer
Version 1.2014
Part 7: Treatment by cancer stage
This chart maps the treatment for superior sulcus tumors.
These tumors start at the top of the lung and easily grow
into the chest wall. For these tumors, chemoradiation is
used to cure the cancer if surgery isn’t an option.
If surgery is an option, chemoradiation is used to shrink
the tumor to make surgery easier. If chemoradiation
works, surgery followed by chemotherapy can be done.
If you are unable or refuse surgery after chemoradiation,
you should receive more radiation therapy to try to cure
the disease. Afterward, chemotherapy is recommended.
Stage III invasive tumors
Superior sulcus tumors
Primary treatment
Neoadjuvant
results
Able and want to
have surgery
Lung tumor and
lymph node surgery
Chemoradiation
Neoadjuvant
treatment
Adjuvant treatment
Chemotherapy
Unable or refuse
to have surgery
Radiation therapy
Chemotherapy
Chemoradiation if unable or
refuse to have surgery
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