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Staging and Prognosis in Lung Cancer: Making the Complex Accessible

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Thoracic Oncology

Part of the book series: Cancer Treatment and Research ((CTAR,volume 105))

Abstract

Long-term survival in lung cancer remains relatively dismal (1). With the exception of resectable patients with either minimal or no node involvement, selected locally advanced patients with NSCLC, and selected limited disease patients with SCLC, cure remains elusive (2,3). As we tease out those who may benefit from aggressive therapy, the intricacies of the staging system appear to grow inversely proportional to the prospect of cure using conventional therapeutic maneuvers. Therapeutic nihilists would argue that staging, in such a setting, is largely irrelevant or useless. However, the nuances of treatment hinge directly on appropriate staging. In addition, carefully defined staging constitutes a common language for clinicians, particularly in the interdisciplinary setting which ideally is required for the optimal treatment of lung cancer. For staging to be meaningful, it must be methodical, comprehensive and reproducible. Otherwise, the putative stage assignment is meaningless.

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Langer, C.J. (2001). Staging and Prognosis in Lung Cancer: Making the Complex Accessible. In: Ettinger, D.S. (eds) Thoracic Oncology. Cancer Treatment and Research, vol 105. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-1589-0_3

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