J.Jpn. Surg. Soc.. 106(6): 380-384, 2005

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Feature topic

SURGERY FOR STAGE III LUNG CANCER

The standard treatment for superior sulcus tumor has been considered preoperative radiotherapy followed by surgery since Paulson proposed. Excellent results of preoperative chemo-radiotherapy reported will be change the standard therapy for superior sulcus tumor. The results of combined resection of neighboring organs for lung cancer have been reported recent a couple of decades. Those results makes clear the limit of improvement of survival after surgery alone for IIIA lung cancer. Multi-disciplinaly treatment including surgery should be tried as clinical trials for IIIA lung cancer. The reports of surgery for IIIB lung cancer are limited number of patients and unstable results. A lot of pure surgical problems of surgery for IIIB lung cancer sill remain to be solved. We should strongly promote clinical trials including surgical approaches for locally advanced lung cancer.

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