Postresection Follow-Up for Non-Small Cell Lung Cancer

Rahul Nayak, MD, FRCSC, Waël C. Hanna, MDCM, MBA, FRCSC
Postresection Follow-Up for Non-Small Cell Lung Cancer is a topic covered in the Pearson's General Thoracic.

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Key Points

  • Survivorship after resection of NSCLC requires multidisciplinary involvement incorporating, active surveillance for recurrence, physical and emotional support through the recovery process, smoking cessation counselling and primary care provision
  • The chance of recurrence after surgical resection increases with increasing initial pathological stage.
  • Patients who develop recurrence may be managed by multimodality treatment including, radiation therapy, chemotherapy, interventional radiology and/or molecular targeted therapies.
  • Patients are also at a 1-2% per year risk of developing a second primary lung and 55% are treatable
  • Semi-annual CT Chest for the first 2 years followed by annual CT Chest is the recommended modality for surveillance after resection for NSCLC

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Key Points

  • Survivorship after resection of NSCLC requires multidisciplinary involvement incorporating, active surveillance for recurrence, physical and emotional support through the recovery process, smoking cessation counselling and primary care provision
  • The chance of recurrence after surgical resection increases with increasing initial pathological stage.
  • Patients who develop recurrence may be managed by multimodality treatment including, radiation therapy, chemotherapy, interventional radiology and/or molecular targeted therapies.
  • Patients are also at a 1-2% per year risk of developing a second primary lung and 55% are treatable
  • Semi-annual CT Chest for the first 2 years followed by annual CT Chest is the recommended modality for surveillance after resection for NSCLC

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