Small cell carcinoma of the lung surgery: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Small cell carcinoma of the lung}} | {{Small cell carcinoma of the lung}} | ||
{{CMG}}; {{AE}} {{Rim}} | |||
==Overview== | ==Overview== | ||
In small cell carcinoma of the lung (SCCL), surgery should only be considered among patients with clinical stage I (T1-2, N0). Postoperative chemotherapy with or without [[small cell carcinoma of the lung radiation therapy|radiation therapy]] is recommended based on the presence or absence of [[lymph node]] involvement. | |||
==Surgery== | ==Surgery== | ||
Surgery is rarely | * Surgery should only be considered among patients with clinical stage I (T1-2, N0). Given that the majority of patients are not diagnosed with clinical stage I (T1-2, N0), surgery is rarely performed among SCCL patients. | ||
* Before a patient is considered for [[lobectomy]], investigation for occult nodal involvement by either [[mediastinoscopy]] or mediatinal node dissection should be performed. | |||
* Post-operative palliative treatment following [[lobectomy]] is the following: | |||
** [[Small cell carcinoma of the lung medical therapy|Chemotherapy]] if there is no nodal involvement | |||
** [[Small cell carcinoma of the lung medical therapy|Chemotherapy]] PLUS [[small cell carcinoma of the lung radiation therapy|radiation therapy]] if there is nodal involvement | |||
==References== | ==References== | ||
Revision as of 16:21, 8 June 2014
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Small Cell Carcinoma of the Lung Microchapters |
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Differentiating Small Cell Carcinoma of the Lung from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Small cell carcinoma of the lung surgery On the Web |
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American Roentgen Ray Society Images of Small cell carcinoma of the lung surgery |
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Directions to Hospitals Treating Small cell carcinoma of the lung |
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Risk calculators and risk factors for Small cell carcinoma of the lung surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2]
Overview
In small cell carcinoma of the lung (SCCL), surgery should only be considered among patients with clinical stage I (T1-2, N0). Postoperative chemotherapy with or without radiation therapy is recommended based on the presence or absence of lymph node involvement.
Surgery
- Surgery should only be considered among patients with clinical stage I (T1-2, N0). Given that the majority of patients are not diagnosed with clinical stage I (T1-2, N0), surgery is rarely performed among SCCL patients.
- Before a patient is considered for lobectomy, investigation for occult nodal involvement by either mediastinoscopy or mediatinal node dissection should be performed.
- Post-operative palliative treatment following lobectomy is the following:
- Chemotherapy if there is no nodal involvement
- Chemotherapy PLUS radiation therapy if there is nodal involvement