Non-small cell lung cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Those who have single station metastatic N2 nodes evaluated by computed tomography in patiets with non-small cell lung cancer will be enrolled in this study. (With above 10mm and below 20mm in those shorter diameter are defined as positive nodes.) Acquitision of lung cancer diagnosis is not required before surgical treatment.
Exclusion criteria
Exclusion criteria: Mediastinal lymphnodes with above 20mm in their shorter diameter. cN2 with over 2 stations. General contraindication for the thoracotomy with low cardio-pulmonary function, liver or renal dysfunction and the others. Age over 76. Extra-nodal invation of cN2 nodes. Distant metastasis. Other malignancies. #1-3(UICC 6) lymphnodes swelling in left side mediastinum. preceding hemotherapy, molecular targetting therapy, thoracic radiotherapy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Single station cN2 definition is as follows. Above 10mm and below 20mm in those diameters are evaluated as metastatic nodes by computed tomography, and such positive nodes without spreading more than 2 stations are considered single station cN2. (Regardless of the status of N1 node, PET observations and patho-cytological diagnosis for those nodes) After registration, patients with single station cN2 NSCLC will take lobectomy or pneumonectomy with systematic lymphnode dissection. In some patients, adjuvant chemotherapy after the decision of pathological stating would be recommended. Primary end points of this study are overall survival (3 and 5 years) and disease specific survival (3 and 5 years). | — |
Countries
Japan
Contacts
Miyagi Cancer Center Department of thoracic surgery