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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

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