2018-07-03
外科治疗
肺叶切除术+淋巴结清扫术:标准术式。
亚肺叶切除术:仅限于特别情况,如肺功能限制、高龄等医学原因不能接受标准治疗者。
放射治疗
SBRT
定义:高放射剂量(通过1-5次放射施予),高度适形。
适应证:可用于手术高危,医学原因不能接受手术的病人。
辅助治疗
● IA期:不推荐辅助化疗
● IB期:
1. 不推荐常规应用含铂辅助化疗。
2. 大肿瘤:建议MDT评价风险/收益
● IA/IB 期:不推荐辅助放疗
▴ 非小细胞肺癌
【参考文献】
● Mark G. Kris, Laurie E. Gaspar, Jamie E. Chaft, Erin B. Kennedy, Christopher G. Azzoli, Peter M. Ellis,et al. Adjuvant Systemic Therapy and Adjuvant Radiation Therapy for Stage I to IIIA Completely Resected Non–Small-Cell Lung Cancers: American Society of Clinical Oncology/Cancer Care Ontario Clinical Practice Guideline Update. http://www.ascopost.com/News/55573 http://ascopubs.org/doi/full/10.1200/JCO.2017.72.4401
● Bryan J. Schneider, Megan E. Daly, Erin B. Kennedy, Mara B. Antonoff, Stephen Broderick, Jill Feldman, et al.Stereotactic Body Radiotherapy for Early-Stage Non–Small-Cell Lung Cancer: American Society of Clinical Oncology Endorsement of the American Society for Radiation Oncology Evidence-Based Guideline. http://ascopubs.org/doi/pdf/10.1200/JCO.2017.74.9671
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