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

81 NCCN Guidelines for Patients ® : Lung Cancer – Non-Small Cell, 2018 Healthy lifestyle The last recommendation is to start or keep a healthy lifestyle. There is proof that healthy behaviors can improve your treatment results. Limiting your use of alcohol, protecting yourself from the sun, and being at a healthy weight are important. 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. Review One primary tumor † † To try to cure stage I lung cancers, surgery or radiation therapy is given. You may receive more treatment for any remaining cancer. Once treatment is done, follow a survivorship plan. † † Stage II tumors without invasion may be cured with surgery. More treatment is often given after surgery. If surgery isn’t an option, radiation therapy to cure is used for N0 disease, and chemoradiation is used for N1 disease. More treatment may be given after radiation. Once treatment is done, follow a survivorship plan. † † Stage II tumors with invasion may be cured with surgery. You may receive chemotherapy or chemoradiation beforehand and more treatment afterward. If surgery isn’t an option, chemoradiation is used to cure. Once treatment is done, follow a survivorship plan. † † For stage III tumors, N0 or N1 disease may be cured with surgery or chemoradiation. Chemotherapy, radiation therapy, or both is given after surgery. Chemoradiation is the most common treatment for N2 and N3 disease found before treatment was started. Once treatment is done, follow a survivorship plan. Multiple primary tumors † † Multiple primary tumors that have spread to N2 or N3 nodes or outside the chest area are treated the same as metastatic disease. Read Part 7. † † Multiple primary tumors with N0 or N1 disease are treated based on traits of the cancer. † † When cancer symptoms are unlikely, multiple primary tumors that appear at the same time don’t need treatment right away. † † Signs that treatment is needed include current or soon-to-start symptoms. Another sign is primary tumors that appear one after the other. In these cases, local treatments are an option if the cancer may be cured. Otherwise, chemotherapy with or without local treatments may be received. 6 Non-metastatic cancer Review

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