stage IIIA
stage IIIA
stage IIIA
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TREATMENT BY STAGE<br />
STAGES I - II NSCLC. III. Surgery<br />
* pneumonectomy reserved for pts with tumors<br />
involving multiple lobes (T3A) or very central tumors and<br />
only be performed in pts with excellent pulmonary<br />
reserve;<br />
- in addition, pts undergoing right - sided<br />
pneumonectomy after induction chemotherapy and<br />
radiation therapy → high mortality rate = be carefully<br />
selected before surgery;<br />
- wedge resection and segmentectomy (potentially by<br />
video assisted thoracic surgery, VATS) reserved for pts<br />
with poor pulmonary reserve and small peripheral lesions