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

77 NCCN Guidelines for Patients ® : Lung Cancer – Non-Small Cell, 2018 Healthy eating includes eating a balanced diet, eating the right amount of food, and drinking enough fluids. However, you may have special food needs during and after treatment. A nutritionist—an expert in creating a healthy diet—can help. Many patients benefit from some exercise. Exercise tones muscles, lowers stress, and improves health. Exercise programs differ between people based on their needs. Talk with your treatment team about which exercises would be best for you. Being hooked on nicotine is one of the hardest addictions to stop. The stress of lung cancer may make it harder or easier to quit. Quitting is important since smoking can limit how well cancer treatment works. Talk with your treatment team about ways to quit. Guide 17. Survivorship plan Type of care When is this care needed? Medical history and physical exam • Every 3–6 months for 3 years ◦◦ If normal results, then repeat every 6 months for 2 years - If normal results, then repeat every year Chest CT ± contrast • Every 3–6 months for 3 years ◦◦ If normal results, then repeat every 6 months for 2 years - If normal results, then LDCT every year General health tests (eg, bone density) • As needed Prevent other diseases (eg, cancer screening) • As needed Healthy lifestyle (eg, healthy diet, no smoking) • As needed Guide 16. Treatment for N3 disease What are the options? • Chemoradiation (at the same time) • Durvalumab 6 Non-metastatic cancer One primary tumor – Stage III

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