Surgical treatment of patients with N2 disease Journal Article


Author: Rusch, V. W.
Article Title: Surgical treatment of patients with N2 disease
Abstract: Patients with stage IIIA (N2) non-small cell lung cancer constitute a significant proportion of the total lung cancer population. Mediastinoscopy plays an important role in identifying and staging such patients. Complete surgical resection yields an approximate 5-year survival rate of 30% in patients with microscopic lower mediastinal nodal metastases but is no longer standard treatment for most patients with N2 disease. Induction cisplatin- based chemotherapy or chemoradiotherapy followed by surgical resection has significantly improved long-term outcome with acceptable morbidity and mortality compared with historical experience with surgical resection or radiation alone. An ongoing intergroup clinical trial will define whether induction chemoradiotherapy followed by surgical resection is superior to chemotherapy and higher dose radiation without resection.
Keywords: cancer chemotherapy; cancer survival; treatment outcome; cancer surgery; review; cisplatin; multimodality cancer therapy; cancer radiotherapy; radiation dose; cancer staging; lung non small cell cancer; mediastinoscopy; human; priority journal
Journal Title: Seminars in Radiation Oncology
Volume: 6
Issue: 2
ISSN: 1053-4296
Publisher: Elsevier Inc.  
Date Published: 1996-04-01
Start Page: 76
End Page: 85
Language: English
DOI: 10.1016/s1053-4296(96)80003-8
PROVIDER: scopus
PUBMED: 10717165
DOI/URL:
Notes: Review -- Export Date: 22 November 2017 -- Source: Scopus
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  1. Valerie W Rusch
    864 Rusch