Non small cell lung cancer medical therapy stage IV: Difference between revisions
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* Mediastinal window<br> | * Mediastinal window<br> | ||
PLUS<br> | PLUS<br> | ||
Therapy for metastatic disease ([[Non small cell lung | Therapy for metastatic disease ([[Non small cell carcinoma of the lung medical therapy metastatic cancer|click here for the treatment of metastatic cancer]]) | ||
</div>|F02=<div style="float: left; text-align: left;">Treat according to tumor stage:<br> | </div>|F02=<div style="float: left; text-align: left;">Treat according to tumor stage:<br> | ||
* [[Non small cell carcinoma of the lung medical therapy#Stage I|I]]<br> | * [[Non small cell carcinoma of the lung medical therapy#Stage I|I]]<br> | ||
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* [[Non small cell carcinoma of the lung medical therapy#Stage III|III]]<br> | * [[Non small cell carcinoma of the lung medical therapy#Stage III|III]]<br> | ||
</div>|F03=Perform a [[needle aspiration biopsy]] for metastasis confirmation|F04=<div style="float: left; text-align: left;">Surgical resection + adjuvant radiation therapy<br>Radiation therapy alone:<br> | </div>|F03=Perform a [[needle aspiration biopsy]] for metastasis confirmation|F04=<div style="float: left; text-align: left;">Surgical resection + adjuvant radiation therapy<br>Radiation therapy alone:<br> | ||
* [[Non small cell carcinoma of the lung radiation therapy#Stereotactic Ablative Radiotherapy Usual Dosage|stereotactic ablative radiation therapy]] + Non small cell carcinoma of the lung radiation therapy#Palliative Radiation Therapy Regimens|Whole brain radiation therapy]]<br>OR<br> | * [[Non small cell carcinoma of the lung radiation therapy#Stereotactic Ablative Radiotherapy Usual Dosage|stereotactic ablative radiation therapy]] + [[Non small cell carcinoma of the lung radiation therapy#Palliative Radiation Therapy Regimens|Whole brain radiation therapy]]<br>OR<br> | ||
* [[Non small cell carcinoma of the lung radiation therapy#Stereotactic Ablative Radiotherapy Usual Dosage|stereotactic ablative radiation therapy]]<br> | * [[Non small cell carcinoma of the lung radiation therapy#Stereotactic Ablative Radiotherapy Usual Dosage|stereotactic ablative radiation therapy]]<br> | ||
PLUS<br> | PLUS<br> | ||
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* [[Non small cell lung cancer radiation therapy|Radiation therapy]]<br> | * [[Non small cell lung cancer radiation therapy|Radiation therapy]]<br> | ||
OR<br> | OR<br> | ||
Administer therapy for metastatic disease in case of not curable lung lesions ([[Non small cell lung | Administer therapy for metastatic disease in case of not curable lung lesions ([[Non small cell carcinoma of the lung medical therapy metastatic cancer|click here for the treatment of metastatic cancer]]) | ||
</div>|G02=What is the TN stage of the lung [[tumor]]?}} | </div>|G02=What is the TN stage of the lung [[tumor]]?}} | ||
{{familytree | | | | | | | | | | | |,|-|^|-|.| | |}} | {{familytree | | | | | | | | | | | |,|-|^|-|.| | |}} |
Revision as of 19:48, 24 June 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alonso Alvarado, M.D. [2]
Overview
Medical Therapy for Stage IV Non-Small Cell Lung Cancer
The algorithms for the treatment of stage IV non small cell carcinoma of the lung are based on the 2014 NCCN Non-Small Cell Lung Cancer guidelines.[1]
Is pleural or pericardial effusion present (suggestive of M1a) or are findings suggestive of systemic metastasis (M1b) present? | |||||||||||||||||||||||||||||||||||||||||||||
M1a | M1b: solitary site systemic metastasis | ||||||||||||||||||||||||||||||||||||||||||||
Perform the following tests:
| Perform the following tests:
| ||||||||||||||||||||||||||||||||||||||||||||
Is the liquid extracted positive for malignant cells? | Are findings suggestive of adrenal metastasis or brain metastasis? | ||||||||||||||||||||||||||||||||||||||||||||
Yes | No | Adrenal | Brain | ||||||||||||||||||||||||||||||||||||||||||
Local therapy
PLUS | Perform a needle aspiration biopsy for metastasis confirmation | Surgical resection + adjuvant radiation therapy Radiation therapy alone:
PLUS | |||||||||||||||||||||||||||||||||||||||||||
If the lung disease is curable, administer local therapy for the adrenal lesion:
OR | What is the TN stage of the lung tumor? | ||||||||||||||||||||||||||||||||||||||||||||
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| Administer therapy for metastatic disease in case of not curable lung lesions (click here for the treatment of metastatic cancer) | ||||||||||||||||||||||||||||||||||||||||||||