SandboxAlonso: Difference between revisions

Revision as of 14:47, 19 June 2014

{{familytree | F01 | | F02 | | F03 | | | | | | F04 | | | | | F01=Local therapy

Ambulatory catheter drainage
Pleurodesis
Mediastinal window

PLUS
Therapy for metastatic disease (click here for the treatment of local and systemic metastasis and neoplastic recurrence) |F02=Treat according to tumor stage:

I
II
III

|F03=Perform a needle aspiration biopsy|F04=Surgical resection + adjuvant radiation therapy
Radiation therapy alone:
* Sterotactic radio surgery + Whole brain radiation therapy
OR
* Sterotactic radio surgery alone|

Is pleural o pericardial effusion present (suggestive of M1a) or are findings suggestive of systemic metastasis (M1b) present?

M1b

{{{ B02 }}}

Perform the following tests:

Perform thoracentesis and/or pericardiocenteis
Perform a thoracoscopy if thoracocentesis is inconclusive

Perform the following tests:

Brain MRI

Bronchoscopy

Mediastinal lymph node biopsy

If not previously done, PET scan or CT scan

Is the liquid extracted positive for malignant cells?

Are findings suggestive of adrenal metastasis or brain metastasis?

Yes

No

Adrenal

Brain

@@ Line 1: / Line 1: @@
- | | |,|-|-|-|-|-|^|-|-|-|-|.| | | | | |}}
+{{familytree/start}}
-{{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 | | | | | | | | A01 | | | | | | | | | A01=Is pleural o pericardial effusion present (suggestive of M1a) or are findings suggestive of systemic metastasis (M1b) present?}}
-{{familytree | | | | |!| | | | | | | | | |!| | | | | | | | | | |!| | | | | | | | | | | | | | | |}}
+{{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 | | | B01 | | | | | | | | B02 | | | | | B01=M1a|B01=M1b}}
-* Carina<br>
+{{familytree | | | |!| | | | | | | | | |!| | | | | | |}}
-* Esophagus<br>
+{{familytree | | | C01 | | | | | | | | C02 | | | | | | C01=Perform the following tests:<br>
-* Great vessels<br>
+* Perform thoracentesis and/or pericardiocenteis<br>
-* Heart<br>
+* Perform a thoracoscopy if thoracocentesis is inconclusive
-* Laryngeal nerve<br>
+|C02=Perform the following tests:<br>
-* Mediastinum<br>
+* Brain MRI<br>
-* Trachea<br>
+* Bronchoscopy<br>
-* Nodules in a different ipsilateral lobe
+* Mediastinal lymph node biopsy<br>
-</div>|G02=Are margins from the surgical piece positive or negative for residual tumor?|G03=Perform surgery + pathological determination of residual tumor}}
+* If not previously done, PET scan or CT scan}}
-{{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 | | | D01 | | | | | | | | D02 | | | | D01=Is the liquid extracted positive for malignant cells?|D02=Are findings suggestive of  adrenal metastasis or brain metastasis?}}
-{{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 | E01 | | E02 | | E03 | | | | | | E04 | | | | E01=Yes|E02=No|E03=Adrenal|E04=Brain}}
-{{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 | F01 | | F02 | | F03 | | | | | | F04 | | | | | F01=Local therapy<br>
-{{familytree | | | | | |!| | | |!| | | | | | | | | | | | | | | | | | | | | | | | | |}}
+* Ambulatory catheter drainage<br>
-{{familytree | | | | | K01 | | K02 | | | | | | | | | | | | | | | | | | | | | K01=Initiate neoadjuvant chemotherapy + radiation therapy|K02=Initiate definitive chemotherapy + radiation therapy}}
+* Pleurodesis<br>
-{{familytree | | | | | |!| | | | | | | | | | | | | | | |}}
+* Mediastinal window
-{{familytree | | | | | L01 | | | | | | | | | | | | | | | | L01=Perform a surgical evaluation: Is the tumor resectable?}}
+<br>PLUS<br>
-{{familytree | | |,|-|-|^|-|-|.| | | | | | | |}}
+Therapy for metastatic disease (click here for the treatment of local and systemic metastasis and neoplastic recurrence)
-{{familytree | | M01 | | | | M02 | | | | | | | | | | M01=Yes|M02=No}}
+|F02=Treat according to tumor stage:<br>
-{{familytree | | |!| | | | | |!| | | | | | | | | | |}}
+* [[Non small cell carcinoma of the lung medical therapy#Stage I|I]]<br>
-{{familytree | | N01 | | | | N02 | | | | | | | | | | N01=Tumor extraction + adjuvant chemotherapy|N02=Definitive chemotherapy + radiation therapy}}
+* [[Non small cell carcinoma of the lung medical therapy#Stage II|II]]<br>
+* [[Non small cell carcinoma of the lung medical therapy#Stage III|III]]<br>
+|F03=Perform a needle aspiration biopsy|F04=Surgical resection + adjuvant radiation therapy<br>Radiation therapy alone:<br>* Sterotactic radio surgery + Whole brain radiation therapy<br>OR<br>* Sterotactic radio surgery alone|
 {{familytree/end}}

SandboxAlonso: Difference between revisions

Revision as of 14:47, 19 June 2014

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