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{{familytree | | | B01 | | | | | | | | B02 | | | | | B01=M1a|B02=M1b}}
{{familytree | | | B01 | | | | | | | | B02 | | | | | B01=M1a|B02=M1b}}
{{familytree | | | |!| | | | | | | | | |!| | | | | | |}}
{{familytree | | | |!| | | | | | | | | |!| | | | | | |}}
{{familytree | | | C01 | | | | | | | | C02 | | | | | | C01=Perform the following tests:<br>
{{familytree | | | C01 | | | | | | | | C02 | | | | | | C01=<div style="float: left; text-align: left; width: 14em; padding:1em;">Perform the following tests:<br>
* Perform thoracentesis and/or pericardiocenteis<br>
* Perform thoracentesis and/or pericardiocenteis<br>
* Perform a thoracoscopy if thoracocentesis is inconclusive
* Perform a thoracoscopy if thoracocentesis is inconclusive
|C02=Perform the following tests:<br>
</div>|C02=<div style="float: left; text-align: left; width: 14em; padding:1em;">Perform the following tests:<br>
* Brain MRI<br>
* Brain MRI<br>
* Bronchoscopy<br>
* Bronchoscopy<br>
* Mediastinal lymph node biopsy<br>
* Mediastinal lymph node biopsy<br>
* If not previously done, PET scan or CT scan}}
* If not previously done, PET scan or CT scan</div>}}
{{familytree | | | |!| | | | | | | | | |!| | | | | | | |}}
{{familytree | | | |!| | | | | | | | | |!| | | | | | | |}}
{{familytree | | | D01 | | | | | | | | D02 | | | | D01=Is the liquid extracted positive for malignant cells?|D02=Are findings suggestive of  adrenal metastasis or brain metastasis?}}
{{familytree | | | D01 | | | | | | | | D02 | | | | D01=Is the liquid extracted positive for malignant cells?|D02=Are findings suggestive of  adrenal metastasis or brain metastasis?}}
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{{familytree | E01 | | E02 | | E03 | | | | | | E04 | | | | E01=Yes|E02=No|E03=Adrenal|E04=Brain}}
{{familytree | E01 | | E02 | | E03 | | | | | | E04 | | | | E01=Yes|E02=No|E03=Adrenal|E04=Brain}}
{{familytree | |!| | | |!| | | |!| | | | | | | |!| | | | | | |}}
{{familytree | |!| | | |!| | | |!| | | | | | | |!| | | | | | |}}
{{familytree | F01 | | F02 | | F03 | | | | | | F04 | | | | | F01=Local therapy<br>
{{familytree | F01 | | F02 | | F03 | | | | | | F04 | | | | | F01=<div style="float: left; text-align: left; width: 14em; padding:1em;">Local therapy<br>
* Ambulatory catheter drainage<br>
* Ambulatory catheter drainage<br>
* Pleurodesis<br>
* Pleurodesis<br>
* Mediastinal window
* Mediastinal window<br>
<br>PLUS<br>
PLUS<br>
Therapy for metastatic disease (click here for the treatment of local and systemic metastasis and neoplastic recurrence)
Therapy for metastatic disease (click here for the treatment of local and systemic metastasis and neoplastic recurrence)
|F02=Treat according to tumor stage:<br>
</div>|F02=<div style="float: left; text-align: left; width: 14em; padding:1em;">Treat according to tumor stage:<br>
* [[Non small cell carcinoma of the lung medical therapy#Stage I|I]]<br>
* [[Non small cell carcinoma of the lung medical therapy#Stage I|I]]<br>
* [[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}}
</div>|F03=Perform a needle aspiration biopsy|F04=<div style="float: left; text-align: left; width: 14em; padding:1em;">Surgical resection + adjuvant radiation therapy<br>Radiation therapy alone:<br>
* Sterotactic radio surgery + Whole brain radiation therapy<br>OR<br>
* Sterotactic radio surgery alone</div>}}
{{familytree/end}}
{{familytree/end}}

Revision as of 14:57, 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