NCCN QUICK GUIDE
Non-Small Cell Lung Cancer, Version 1.2015
Treatment OptionsNCCN.org - For Clinicians
|NCCN.org/patients - For Patients
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What are the options for Stage III?
of tumor into
Surgery to remove the cancer and lymph nodes. Then, chemotherapy
if chances are low that cancer remains. If high, you may have
Chemotherapy then surgery. Radiation therapy may be received before
or after surgery. More chemotherapy may follow surgery.
Chemoradiation then surgery then chemotherapy.
Chemoradiation then more chemotherapy.
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.
What are the options for widespread Stage IV?
Erlotinib or afatinib.78
First, crizotinib and if it fails, then ceritinib.80
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