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Non-Small Cell Lung Cancer Treatment (PDQ®)
Updated:
02/10/2012
Table 8. Standard Treatment Options for NSCLC
Stage (
TNM Staging Criteria
)
Standard Treatment Options
Occult NSCLC
Surgery
Stage 0 NSCLC
Surgery
Endobronchial therapies
Stage I NSCLC
Surgery
Radiation therapy
Stage II NSCLC
Surgery
Neoadjuvant chemotherapy
Adjuvant chemotherapy
Radiation therapy
Stage IIIA NSCLC
Resected or resectable disease
Surgery
Neoadjuvant therapy
Adjuvant therapy
Unresectable disease
Radiation therapy
Chemoradiation therapy
Superior sulcus tumors
Radiation therapy
alone
Radiation therapy and surgery
Concurrent chemotherapy with radiation therapy and surgery
Surgery
alone (for selected patients)
Chest wall tumors
Surgery
Surgery and radiation therapy
Chemotherapy combined with radiation therapy and/or surgery
Stage IIIB NSCLC
Sequential or concurrent chemotherapy and radiation therapy
Chemotherapy followed by surgery (for selected patients)
Radiation therapy
alone
Stage IV NSCLC
Cytotoxic combination chemotherapy
(first line)
Combination chemotherapy with bevacizumab or cetuximab
Epidermal growth factor receptor tyrosine kinase inhibitors
(first line for patients with
EGFR
mutations)
Maintenance therapy following first-line chemotherapy
External-beam radiation therapy
(for palliation)
Endobronchial laser therapy and/or brachytherapy
(for obstructing lesions)
Recurrent NSCLC
Radiation therapy
(for palliation)
Chemotherapy
alone
Surgery
(for isolated cerebral metastasis in highly selected patients)
Laser therapy
or
interstitial radiation therapy
(for endobronchial lesions)
Stereotactic radiation surgery
(for highly selected patients)
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