TABLE 3

Considerations in the multidisciplinary tumour board for the various local treatment options in stage III nonsmall cell lung cancer

Resection as primary local treatment
 Adequate pulmonary and cardiovascular function
 Tumours without multi-zone mediastinal lymph node involvement
 Bulky, necrotic tumours with possible complications
 Multiple nodules in the same lobe
 Adequate technical operability, no pneumonectomy necessary
 Local experience and outcome date
 Patient's preferences
Radiotherapy as primary local treatment
 Not adequately resectable disease
 Reasonable dose affections of lung and heart
 (Small) tumours with multiple mediastinal lymph node involvement
 Local experience and outcome date
 Patient's preferences
Radiotherapy and surgery
 Local tumour control is very important
 Locally invasive tumours with slim possible resection margins (e.g. superior sulcus tumours)