2 doctors weighed in:

Does surgery improve life expectancy for patients with stage 3 lung cancer?

2 doctors weighed in
Dr. Andrew Turrisi
Radiation Oncology

In brief: If so, not much

Albain et al tried to show that surgery improved survival in operable iiia, but there was no statistical benefit.
The subset that got just a lobe removed possible benefited, but would need a larger study to prove. Those that had the entire lung removed actually faired worse. For most patients, it is not the thing that makes a difference, but response to chemo/rt signals benefit.

In brief: If so, not much

Albain et al tried to show that surgery improved survival in operable iiia, but there was no statistical benefit.
The subset that got just a lobe removed possible benefited, but would need a larger study to prove. Those that had the entire lung removed actually faired worse. For most patients, it is not the thing that makes a difference, but response to chemo/rt signals benefit.
Dr. Andrew Turrisi
Dr. Andrew Turrisi
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Dr. David Cooke
Surgery - Thoracic

In brief: Depends on type

Stage iii is divided into stage iiia and iiib.
Surgery is an option for patients with stage iiia. Surgery may increase survival in conjunction with preoperative chemotherapy +/- radiation in patients who do not require a pneumonectomy (removal of whole lung) and patients with small lymph nodes (non-bulky) and cancer in lymph nodes in one area or "single station" only.

In brief: Depends on type

Stage iii is divided into stage iiia and iiib.
Surgery is an option for patients with stage iiia. Surgery may increase survival in conjunction with preoperative chemotherapy +/- radiation in patients who do not require a pneumonectomy (removal of whole lung) and patients with small lymph nodes (non-bulky) and cancer in lymph nodes in one area or "single station" only.
Dr. David Cooke
Dr. David Cooke
Thank
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