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stage IIIA

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TREATMENT BY STAGE. XX.<br />

Superior sulcus or Pancoast tumors. III.<br />

* best results with employing concurrent preoperative<br />

irradiation [30 Gy in 10 treatments] and cisplatin and<br />

etoposide → en bloc resection of tumor and involved chest<br />

wall 3 - 6 wks later (65% of thoracotomy specimens →<br />

complete response or minimal residual microscopic<br />

disease on pathologic evaluation);<br />

- 2 - yr survival = 55% for all eligible pts and = 70% for pts<br />

with complete resection

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