Expert Cancer Panel: Stage IIIC superior sulcus tumor w/ extension to rib and PET-avid supraclav LN

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Recorded on 5/8/2021

66-year-old male with stage IIIC adenosquamous superior sulcus tumor of the left upper lobe with direct extension into the left 4th rib and hypermetabolic supraclavicular lymph node

Summary:
- Recommend thorough mediastinal staging to determine candidacy for surgical resection
- In patients with surgically resectable disease, recommend induction chemoradiotherapy followed by surgical resection.
- Treatment regimen based on the SWOG 9416 trial with cisplatin + etoposide concurrent with radiation.


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Category
Oncology
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