TABLE 10

Summary of treatment options for stage I–II NSCLC according to proposed 8th TNM classification

Clinical TNClinical stageMedically operableMedically inoperable
T1a(mi) N0IA1SLRSLR/SBRT/RFA
T1a N0IA1SLR/lobectomySLR/SBRT/RFA
T1b N0IA2SLR/lobectomySLR/SBRT/RFA
T1c N0IA3LobectomySBRT/RFA
T2a N0IBLobectomy/sleeveSBRT/Conventional EBRT
T2b N0IIALobectomy/sleeve/pneumonectomy consider adjuvant chemotherapySBRT/Conventional EBRT
T1a-c N1IIBLobectomy – adjuvant chemotherapy(Chemo)radiation
T2a-b N1IIBLobectomy – adjuvant chemotherapy(Chemo)radiation
T3 N0IIBLobectomy/sleeve/pneumonectomy/extended resection consider adjuvant chemotherapy(Chemo)radiation
  • TN: tumour–node staging; mi: minimally invasive; SLR: sublobar resection; RFA: radiofrequency ablation; EBRT: external beam radiotherapy; SBRT: stereotactic body radiotherapy.