Patient Selection for Radiotherapy
Summary of Key Points • Patient selection is crucial to ensure treatment selection and optimal outcome. • The performance status, described by, for example, the Karnofsky or the Eastern Cooperative…
ONCOLOGY
Radiobiology of Lung Cancer
Summary of Key Points • The hallmarks of radiobiology are the “4 Rs”: r epair, r eassortment, r eoxygenation, r epopulation. • Radiation exerts its biologic effects by causing damage…
Technical Requirements for Lung Cancer Radiotherapy
Summary of Key Points • Radiotherapy plays a central role in the treatment of lung cancer for patients in both the palliative and curative settings. • Major advances in the…
Surgical Management of Patients Considered Marginally Resectable
Summary of Key Points • Up to 25% of patients with stage I nonsmall cell lung cancer are considered medically inoperable or high risk for surgery. • Therapies such as…
Multiple Nodules: Management of Synchronous and Metachronous Lung Cancers
Summary of Key Points • Multiple primary lung cancers (MPLCs) are increasing in incidence as imaging accuracies improve and resections are better tolerated. • Differentiating MPLCs from intrathoracic metastatic disease…
Extent of Surgical Resection for Stage I and II Lung Cancer
Summary of Key Points • With the realization that many more lung cancers are being detected, which may not only be indolent but also smaller than 2 cm, thoracic surgeons…
Extended Resections for Lung Cancer: Chest Wall and Pancoast Tumors
Summary of Key Points Chest Wall: • Invasion of parietal pleura and chest wall indicates T3; involvement of vertebral body indicates T4 chest wall tumor. • Extensive resection required. •…
Extended Resections for Lung Cancer: Bronchovascular Sleeve Resections
Summary of Key Points • Bronchovascular sleeve resection is an essential technique for general thoracic surgeons to preserve as much as possible the patient’s lung function and quality of life…
Robotic Surgery: Techniques and Results for Resection of Lung Cancer
Summary of Key Points • Robotic surgery can be used for completely portal (no utility incision) or robotic-assisted (uses utility incision) techniques. • Appropriate patient and port positioning are critical…
The Eighth Edition of the Tumor, Node, and Metastasis Classification of Lung Cancer
Summary of Key Points • Size counts: From less than or equal to 1-cm to less than or equal to 5-cm tumor size, every centimeter has prognostic impact and separates…
