11.) What is the management of the primary if the metastatic workup were negative?
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Primary management for non-small cell lung cancer:
- Early stage (Stage I or II): surgical resection by lobectomy or pneumonectomy. Controversy exists regarding adjuvant therapy for Stage II NSCLC
- Stage III (locally advanced disease with nodes):
Surgery may not be feasible
Radiotherapy alone gives poor results
Chemoradiation gives better results
Neoadjuvant chemotherapy followed by surgery may be best
- Stage IV: chemotherapy
Primary management for small cell lung cancer: chemotherapy
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