| Table
4: |
|
Options
for the Treatment of Lung Cancer
|
| Non-Small
Cell |
|
Stage
IA, IB, IIA, IIB
|
- Surgical resection
is the standard of care if patient deemed able to tolerate
- Limited resection
if patient is unable to tolerate larger resection
- Radiotherapy if
patient is unable to tolerate or chooses not to undergo resection
- Adjuvant radiotherapy
possibly of use if incomplete resection has occurred
- Consider adjuvant
chemotherapy
|
|
Stage
IIIA
|
- Concurrent chemoradiotherapy
using a platinum-based regimen if performance status is reasonable
- Induction chemoradiotherapy
followed by resection in selected patients, ideally as part of a study
protocol
|
|
Stage
IIIB
|
- Concurrent chemoradiotherapy
using a platinum-based regimen if performance status is reasonable
- Induction chemoradiotherapy
followed by resection in highly selected patients, only as part of a
study protocol
|
|
Stage
IV
|
- Platinum-based
chemotherapy regimen in patients with adequate performance status
|
| Small
Cell |
|
Limited-Stage
|
- Combination chemotherapy
with concurrent hyperfractionated radiotherapy if performance status
is adequate
- Prophylactic cranial
radiation for those with a complete response to chemoradiotherapy
|
|
Extensive-Stage
|
- Combination chemotherapy
if performance status is adequate
|
| |