Department of Surgery, Allegheny General Hospital, 320 East North Avenue, Suite 556, Pittsburgh, PA 15212, USA.
Department of Surgery, Prince of Wales Hospital, Shatin, New Territories, Hong Kong.
Thorac Surg Clin. 2023 May;33(2):179-187. doi: 10.1016/j.thorsurg.2023.01.003. Epub 2023 Feb 26.
Current treatment for early-stage lung cancer focuses on surgical intervention as the mainstay of treatment; however, this poses issues in patients that are high-risk or unable to tolerate any operation. In this case, sublobar resection or radiation therapy has been the primary treatment for these subsets of patients. Alternative approaches include stereotactic body radiation therapy (SBRT) and thermal ablation. In this article, we focus on treatment strategies using SBRT, thermal ablation, or surgery as it pertains to high-risk patients with early-stage lung cancer.
目前早期肺癌的治疗侧重于手术干预作为主要治疗手段；然而，这在高危或不能耐受任何手术的患者中存在问题。在这种情况下，亚肺叶切除术或放射治疗一直是这些患者亚组的主要治疗方法。其他方法包括立体定向体部放射治疗（SBRT）和热消融。本文重点介绍了高危早期肺癌患者使用 SBRT、热消融或手术的治疗策略。
