SandboxAlonso

In the tumor central o peripheral?

Peripheral

Central

Is the tumor T1 or T2a?

T1ab, N0

T2a, N0

T1ab-2a, N0

Perform a pretreatment evaluation *If not done, perform pulmonary function tests *Perform bronchoscopy (if possible intraoperative) *Perform a pathological lymph node evaluation *If not done, order PET scan or CT scan

Perform a pretreatment evaluation *If not done, perform pulmonary function tests *Perform bronchoscopy (if possible intraoperative) *Perform a pathological lymph node evaluation *If not done, order PET scan or CT scan

Does the pathological evaluation showed positive disease in the mediastinal lymph nodes?

Does the pathological evaluation showed positive disease in the mediastinal lymph nodes?

Yes

No

Yes

No

Click here for the Stage III treatment

Is the tumor operable?

Click here for the Stage III treatment

Is the tumor operable?

Yes

No

Yes

No

Surgical resection + lymph node dissection

Radiotherapy with stereotactic ablative radiotherapy

Surgical resection + lymph node dissection

Does the patient presents metastasis to ipsilateral peribronchial and/or hiliar nodesand intrapulmonar nodes (N1)?

Yes

No

Chemotherapy + radiation therapy

Radiotherapy with stereotactic ablative radiotherapy Adjuvant chemotherapy should be added for high-risk stages