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{{familytree | | | | | | | | A01 | | | | | | | | | A01=Is pleural o pericardial effusion present (suggestive of M1a) or are findings suggestive of systemic metastasis (M1b) present?}}
{{familytree | | | | | | | | A01 | | | | | | | | | A01=Is pleural o pericardial effusion present (suggestive of M1a) or are findings suggestive of systemic metastasis (M1b) present?}}
{{familytree | | | |,|-|-|-|-|^|-|-|-|-|.| | | | | |}}
{{familytree | | | |,|-|-|-|-|^|-|-|-|-|.| | | | | |}}
{{familytree | | | B01 | | | | | | | | B02 | | | | | B01=M1a|B01=M1b}}
{{familytree | | | B01 | | | | | | | | B02 | | | | | B01=M1a|B02=M1b}}
{{familytree | | | |!| | | | | | | | | |!| | | | | | |}}
{{familytree | | | |!| | | | | | | | | |!| | | | | | |}}
{{familytree | | | C01 | | | | | | | | C02 | | | | | | C01=Perform the following tests:<br>
{{familytree | | | C01 | | | | | | | | C02 | | | | | | C01=Perform the following tests:<br>
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* [[Non small cell carcinoma of the lung medical therapy#Stage II|II]]<br>
* [[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>
* [[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|
|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}}
{{familytree/end}}

Revision as of 14:48, 19 June 2014

 
 
 
 
 
 
 
Is pleural o pericardial effusion present (suggestive of M1a) or are findings suggestive of systemic metastasis (M1b) present?
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
M1a
 
 
 
 
 
 
 
M1b
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
    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)
     
    Treat according to tumor stage:
     
    Perform a needle aspiration biopsy
     
     
     
     
     
    Surgical resection + adjuvant radiation therapy
    Radiation therapy alone:
    * Sterotactic radio surgery + Whole brain radiation therapy
    OR
    * Sterotactic radio surgery alone