Monday, October 10, 2005
Quick question on stage IAs
One of my patients today was asking about adjuvant therapy: he is only 47, quit TOB in 2001 and we recently diagnosed him with a squam cell Ca of the LUL. He has normal lung Fxn and underwent a clean, uneventful LULobectomy with a 1-cm tumor, clear margins and no involved nodes. He is understanbly scared and was seen by one of our oncologists who pointed out that there is no data to support adjuvant therapy in his case. Do you know of any trials looking at adjuvant therapy for IAs?
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Isn't the selenium trial for stage IB disease?
I went on the listed website, but I could not find it.
If this is true, I think it would be poor form (? malpractice) if we did not offer our stage IB patients chemotherapy based upon the recent NEJM paper.
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