Goldberg M
Can Fam Physician. 1985 Jun;31:1241-4.
Surgical resection is the best form of treatment for primary non-small cell lung cancer. In resected cases the overall five year survival rate is 35%. The prognosis depends on cell type, nodal status and tumor size. Palliation of symptoms can be controlled in most instances by chemotherapy, radiation therapy or a combination of both. Presently there is no proven role for adjuvant irradiation therapy and chemotherapy after curative resection. Small cell carcinoma should be treated with combination chemotherapy and prophylactic cranial radiation; these therapies prolong survival and control symptoms. Patients' questions should be answered specifically and in no greater depth than the patient desires. Close communication should be maintained between physician, patient and a designated member of the family.
手术切除是原发性非小细胞肺癌的最佳治疗方式。在接受手术切除的病例中，总体五年生存率为35%。预后取决于细胞类型、淋巴结状态和肿瘤大小。在大多数情况下，症状的缓解可通过化疗、放疗或两者联合来控制。目前，根治性切除术后辅助放疗和化疗尚无明确作用。小细胞癌应采用联合化疗和预防性脑放疗；这些疗法可延长生存期并控制症状。应具体回答患者的问题，且回答深度不应超过患者的期望。医生、患者和指定的家庭成员之间应保持密切沟通。
