Previous Page  2 / 2
Information
Show Menu
Previous Page 2 / 2
Page Background

2

NCCN QUICK GUIDE

tm

Non-Small Cell Lung Cancer, Version 1.2015

Treatment Options

NCCN.org - For Clinicians

|

NCCN.org/patients - For Patients

pay it forward

donate now nccnfoundation.org

The NCCN Quick Guide

tm

series and NCCN Guidelines for Patients

®

are supported by charitable

donations made to the NCCN Foundation

®

. For more details and the full library of patient and

caregiver resources, visit

NCCN.org/patients.

PAT-N-0073-0915

What are the options for Stage III?

No growth

of tumor into

other tissues

(No invasion)

Surgery to remove the cancer and lymph nodes. Then, chemotherapy

if chances are low that cancer remains. If high, you may have

chemoradiation.

Chemotherapy then surgery. Radiation therapy may be received before

or after surgery. More chemotherapy may follow surgery.

Chemoradiation alone

68

Superior

sulcus tumor

Chemoradiation then surgery then chemotherapy.

Chemoradiation then more chemotherapy.

Chemoradiation alone

72

Growth of

tumor into

other tissues

(Invasion)

Surgery to remove the cancer and lymph nodes. Then,

chemotherapy if chances are low that cancer remains. If high,

surgery with chemotherapy or chemoradiation alone.

Chemoradiation or chemotherapy then surgery. You may have a

second surgery if not all of the cancer was removed.

Chemoradiation alone

74

What are the options for widespread Stage IV?

Abnormal EGFR

Erlotinib or afatinib.

78

Abnormal ALK

First, crizotinib and if it fails, then ceritinib.

80

Normal or

unknown EGFR

or ALK status

Chemotherapy and if the cancer grows, try another

chemotherapy. Drugs that stop cancer from getting food may be

added. An immune-boosting drug is sometimes an option.

Supportive care if chemotherapy will be harmful.

82

Are multiple unrelated tumors treated the same?

Surgery is preferred to try to cure. Otherwise, treatment is the same as for stage IV.

90

How do I decide between options?

Ask your doctors many questions. Also, you could get a second opinion, attend support groups,

and compare pros and cons.

97

Ü

NCCN Guidelines

for Patients

®

Page Number