SandboxAlonso: Difference between revisions
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{{familytree | | | | F01 | | | | | | | | F02 | | | | | | | | | F03 | | | | | | | | | | | | | F01=Superior suculus tumor|F02=Preferred option: Surgery + pathological determination of microscopic residual tumor|F03=Neoadjuvant Chemotherapy <br>OR<br>Chemotherapy + radiation therapy}} | |||
{{familytree | | | | |!| | | | | | | | | |!| | | | | | | | | | |!| | | | | | | | | | | | | | | |}} | |||
{{familytree | | | | G01 | | | | | | | | G02 | | | | | | | | | G03 | | | | | | | | | | | | | | | G01=<div style="float: left; text-align: left; width: 14em; padding:1em;">Is the tumor larger than 7 cm or invaded adjacent structures (T3) with or without invasion of ipsilateral peribronchial or hiliar nodes (N1)? <br>OR<br> Has the tumor has estended to any of the following: | |||
{{familytree | | | | | |||
{{familytree | | |||
{{familytree | | | | | |||
* Carina<br> | * Carina<br> | ||
* Esophagus<br> | * Esophagus<br> | ||
| Line 37: | Line 10: | ||
* Mediastinum<br> | * Mediastinum<br> | ||
* Trachea<br> | * Trachea<br> | ||
* Nodules in a different ipsilateral lobe</div>}} | * Nodules in a different ipsilateral lobe | ||
{{familytree | | | | | </div>|G02=Are margins from the surgical piece positive or negative for residual tumor?|G03=Perform surgery + pathological determination of residual tumor}} | ||
{{familytree | | | | {{familytree | |,|-|-|^|-|-|.| | | |,|-|-|^|-|-|.| | | | | | | |!| | | | | | | | | |}} | ||
{{familytree | | | | | {{familytree | H01 | | | | H02 | | H03 | | | | H04 | | | | | | H05 | | | | | | | | H01=T3, N0-1|H02=T4|H03=Negative (R0)|H04=Positive: Is the residual tumor microscopic (R1) or macroscopic (R2)|H05=Are margins from the surgical piece positive or negative for residual tumor?}} | ||
{{familytree | | | | {{familytree | |!| | | | | |!| | | |!| | | |,|-|^|-|.| | | |,|-|^|-|.| | | | | | | |}} | ||
{{familytree | {{familytree | I01 | | | | I02 | | I03 | | I04 | | I05 | | I06 | | I07 | | | | | | | | | | I01=Initiate neoadjuvant chemotherapy + radiation therapy|I02=Is the tumor resectable?|I03=Adjuvant chemotherapy|I04=Microscopic (R1)|I05=Macroscopic (R2)|I06=Negative (R1)|I07=Positive (R1-2)}} | ||
{{familytree | {{familytree | |!| | | |,|-|^|-|.| | | | | |!| | | |!| | | |!| | | |!| | | | | |}} | ||
{{familytree | {{familytree | J01 | | J02 | | J03 | | | | J04 | | J05 | | J06 | | J07 | | | | | | | | | | | | J01=Surgery + adjuvant [[chemotherapy]]|J02=Yes|J03=No|J04=Tumor resection + adjuvant chemotherapy<br>OR<br>Chemotherapy + radiotherapy|J05=Tumor resection + adjuvant chemotherapy<br>OR<br>Chemotherapy + radiotherapy|J06=Observation|J07=Tumor resection}} | ||
{{familytree | {{familytree | | | | | |!| | | |!| | | | | | | | | | | | | | | | | | | | | | | | | |}} | ||
{{familytree | {{familytree | | | | | K01 | | K02 | | | | | | | | | | | | | | | | | | | | | K01=Initiate neoadjuvant chemotherapy + radiation therapy|K02=Initiate definitive chemotherapy + radiation therapy}} | ||
{{familytree | {{familytree | | | | | |!| | | | | | | | | | | | | | | |}} | ||
{{familytree | {{familytree | | | | | L01 | | | | | | | | | | | | | | | | L01=Perform a surgical evaluation: Is the tumor resectable?}} | ||
{{familytree | {{familytree | | |,|-|-|^|-|-|.| | | | | | | |}} | ||
{{familytree | {{familytree | | M01 | | | | M02 | | | | | | | | | | M01=Yes|M02=No}} | ||
{{familytree | {{familytree | | |!| | | | | |!| | | | | | | | | | |}} | ||
{{familytree | | N01 | | | | N02 | | | | | | | | | | N01=Tumor extraction + adjuvant chemotherapy|N02=Definitive chemotherapy + radiation therapy}} | |||
{{familytree/end}} | {{familytree/end}} | ||
Revision as of 19:22, 17 June 2014
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Superior suculus tumor
Preferred option: Surgery + pathological determination of microscopic residual tumor
Neoadjuvant Chemotherapy
OR
Chemotherapy + radiation therapy
Is the tumor larger than 7 cm or invaded adjacent structures (T3) with or without invasion of ipsilateral peribronchial or hiliar nodes (N1)?
OR
Has the tumor has estended to any of the following:
OR
Has the tumor has estended to any of the following:
- Carina
- Esophagus
- Great vessels
- Heart
- Laryngeal nerve
- Mediastinum
- Trachea
- Nodules in a different ipsilateral lobe
Are margins from the surgical piece positive or negative for residual tumor?
Perform surgery + pathological determination of residual tumor
T3, N0-1
T4
Negative (R0)
Positive: Is the residual tumor microscopic (R1) or macroscopic (R2)
Are margins from the surgical piece positive or negative for residual tumor?
Initiate neoadjuvant chemotherapy + radiation therapy
Is the tumor resectable?
Adjuvant chemotherapy
Microscopic (R1)
Macroscopic (R2)
Negative (R1)
Positive (R1-2)
Surgery + adjuvant chemotherapy
Yes
No
Tumor resection + adjuvant chemotherapy
OR
Chemotherapy + radiotherapy
Tumor resection + adjuvant chemotherapy
OR
Chemotherapy + radiotherapy
Observation
Tumor resection
Initiate neoadjuvant chemotherapy + radiation therapy
Initiate definitive chemotherapy + radiation therapy
Perform a surgical evaluation: Is the tumor resectable?
Yes
No
Tumor extraction + adjuvant chemotherapy
Definitive chemotherapy + radiation therapy