KMID : 0982820020010010009
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Journal of Lung Cancer 2002 Volume.1 No. 1 p.9 ~ p.14
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Surgery for Locally Advanced Non-Small Cell Lung Cancer
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Kim Young-Tae
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Abstract
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Surgical resection of locally advanced lung cancer is a challenging subject for thoracic surgeons. Although the operative mortality and morbidity have recently decreased, extended pulmonary resection still remains a high-risk procedure. In selective patients an extended resection would offer an increased chance of a cure from the disease. The most important prognostic factors for a locally advanced lung cancer are the mediastinal lymph node status and the completeness of the resection. Careful preoperative evaluations are required, and every effort to achieve a negative resection margin is of utmost importance during the operation. The recent development of neoadjuvant chemotherapy seems to be promising, but to draw any conclusion regarding the long-term survival benefits, multi-centered randomized trials are mandatory.
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KEYWORD
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NSCLC, Surgery
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