Thoracic Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
Thorac Surg Clin. 2013 Aug;23(3):273-85. doi: 10.1016/j.thorsurg.2013.04.004. Epub 2013 May 17.
Patients with Stage III non-small cell lung cancer are best managed by multimodality therapy. Patients with N2 disease can be treated with induction therapy (usually chemotherapy) followed by surgical resection. Patients whose medical comorbidities preclude surgery should be treated with definitive chemoradiotherapy. T3 or T4 tumors involving the superior sulcus or spine are best managed with induction chemoradiotherapy and surgical resection.
III 期非小细胞肺癌患者最好采用多模式治疗。N2 期疾病患者可采用诱导治疗(通常为化疗)后行手术切除。因合并症而不能手术的患者应采用根治性放化疗。累及上纵隔或脊柱的 T3 或 T4 肿瘤最好采用诱导放化疗和手术切除。