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

69 NCCN Guidelines for Patients ® : Lung Cancer – Non-Small Cell, 2018 Guide 11. Treatment for T3 superior sulcus tumors Surgery status What are the options? You are approved and agree to surgery • Chemoradiation (at the same time) • Surgery + chemotherapy You are not approved or decline surgery • Chemoradiation (at the same time) Adjuvant treatment after surgery Initial treatment Margin status What are the options? No preoperative treatment No cancer in the margins • Chemotherapy Cancer in margins that is only seen with a microscope • Another surgery + chemotherapy, • Chemoradiation (same time or back-to-back) Cancer in margins that is seen with the naked eye • Another surgery + chemotherapy • Chemoradiation (at the same time) Preoperative treatment No cancer in the margins • Start survivorship plan Cancer in the margins • Another surgery Guide 12. Treatment for T3 other invasive tumors Initial treatment Surgery status What are the options? You are approved and agree to surgery • Surgery (preferred) • Preoperative chemoradiation (at the same time) followed by surgery • Chemoradiation (at the same time) You are not approved or decline surgery • Chemoradiation (at the same time) 6 Non-metastatic cancer One primary tumor – Stage II

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