Small cell carcinoma of the lung surgery
|
Small Cell Carcinoma of the Lung Microchapters |
|
Differentiating Small Cell Carcinoma of the Lung from other Diseases |
|---|
|
Diagnosis |
|
Treatment |
|
Case Studies |
|
Small cell carcinoma of the lung surgery On the Web |
|
American Roentgen Ray Society Images of Small cell carcinoma of the lung surgery |
|
Directions to Hospitals Treating Small cell carcinoma of the lung |
|
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