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Lung Cancer, An Issue of Surgical Oncology Clinics of North America, E-Book

Lung Cancer, An Issue of Surgical Oncology Clinics of North America, E-Book

Mark J. Krasna

(2016)

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Book Details

Abstract

This issue of Surgical Oncology Clinics of North America, guest edited by Dr. Mark Krasna, is devoted to Lung Cancer. Dr. Krasna has assembled expert authors to review the following topics: Epidemiology for Lung Cancer; Screening for Lung Cancer; Pathology for Lung Cancer; Treatment of Patients with Oligometastatic Disease for NSCLC; SBRT/Ablative Therapies for NSCLC; Mediastinal Staging for Lung Cancer; VATS Lobectomy for NSCLC; Robotic Lung Resection for NSCLC; Pneumonectomy for NSCLC; Bronchoscopy-Diagnostic and Therapeutic for NSCLC; Neoadjuvant Therapy for Lung Cancer; Molecular/Targeted Therapy for Lung Cancer; Adjuvant Therapy for Stage 1and 2 NSCLC, and more!


Table of Contents

Section Title Page Action Price
Front Cover Cover
Lung Cancer i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITOR iii
AUTHORS iii
Contents vii
Foreword: Lung Cancer\r vii
Preface: Lung Cancer\r vii
Epidemiology of Lung Cancer\r vii
Classification and Pathology of Lung Cancer\r vii
Screening for Lung Cancer\r vii
Bronchoscopy: Diagnostic and Therapeutic for Non–Small Cell Lung Cancer\r viii
Mediastinal Staging in Non–Small Cell Lung Cancer\r viii
Thoracoscopic Lobectomy for Non–Small Cell Lung Cancer\r viii
Robotic Lung Resection for Non–Small Cell Lung Cancer\r viii
Pneumonectomy for Non–Small Cell Lung Cancer\r ix
Stereotactic Body Radiotherapy and Ablative Therapies for Lung Cancer\r ix
Neoadjuvant Therapy in Non–Small Cell Lung Cancer\r ix
Adjuvant Therapy for Stage I and II Non–Small Cell Lung Cancer\x0B ix
Targeted Therapy and Immunotherapy for Lung Cancer\r x
Local Therapy Indications in the Management of Patients with Oligometastatic Non–Small Cell Lung Cancer\r x
SURGICAL ONCOLOGY\rCLINICS OF NORTH AMERICA\r\x0B xi
FORTHCOMING ISSUES xi
October 2016 xi
January 2017 xi
April 2017 xi
RECENT ISSUES xi
April 2016 xi
January 2016 xi
October 2015 xi
Foreword:\rLung Cancer xiii
Preface:\rLung Cancer xv
Epidemiology of Lung Cancer 439
Key points 439
EPIDEMIOLOGIC CHARACTERISTICS 439
Incidence and Mortality 439
Survival 440
RISK FACTORS 440
Tobacco 440
Air Pollution 441
Radon 442
Occupational Exposure 442
Hereditary Susceptibility 442
Radiation 442
Diet 443
Others 443
SUMMARY 443
REFERENCES 443
Classification and Pathology of Lung Cancer 447
Key points 447
INTRODUCTION 447
ADENOCARCINOMA 448
Preinvasive or Minimally Invasive Adenocarcinoma 449
Invasive Adenocarcinoma 450
Lepidic Adenocarcinoma 450
Acinar Adenocarcinoma 451
Papillary Adenocarcinoma 451
Micropapillary Adenocarcinoma 451
Solid Adenocarcinoma 451
Rare Variants of Invasive Adenocarcinoma 451
SQUAMOUS CELL CARCINOMA 451
LARGE CELL CARCINOMA 453
OTHER NON–SMALL CELL CARCINOMA TYPES 453
NEUROENDOCRINE TUMORS 454
Typical Carcinoid 454
Atypical Carcinoid 455
Small Cell Carcinoma 456
Large Cell Neuroendocrine Carcinoma 457
OTHER PRIMARY TUMORS OF THE LUNG 457
BIOPSY DIAGNOSIS OF LUNG CANCER 457
IMMUNOHISTOCHEMISTRY 458
MOLECULAR TESTING OF LUNG CANCER 460
SUMMARY 462
REFERENCES 462
Screening for Lung Cancer 469
Key points 469
HISTORY OF LUNG CANCER SCREENING 470
Chest Radiograph Screening 470
Early Computed Tomography Screening Studies 470
Modeling Approaches to Estimate Mortality Benefit 471
The Gold Standard: the National Lung Screening Trial 471
IMPORTANT STATISTICAL CONCEPTS 472
CURRENT RECOMMENDATIONS 474
RESECTION OF SCREEN-DETECTED LUNG CANCER 475
SUMMARY 476
REFERENCES 477
Bronchoscopy 481
Key points 481
INTRODUCTION 481
NON–SMALL CELL LUNG CANCER 482
GENERAL BRONCHOSCOPY: RIGID AND FLEXIBLE 482
ENDOBRONCHIAL DIAGNOSIS OF NON–SMALL CELL LUNG CANCER 483
Endobronchial Ultrasound 483
Electromagnetic Navigational Bronchoscopy 484
Autofluorescence and Narrow Band Imaging Bronchoscopy 486
ENDOBRONCHIAL THERAPY FOR NON–SMALL CELL LUNG CANCER 487
Photodynamic Therapy 487
Laser Therapy 488
Cryotherapy 488
Stents 489
SUMMARY 489
REFERENCES 489
Mediastinal Staging in Non–Small Cell Lung Cancer 493
Key points 493
IMPORTANCE OF PRETREATMENT STAGING IN THE MANAGEMENT OF NON–SMALL CELL LUNG CANCER 493
THE TIMING OF MEDIASTINAL LYMPH NODE STAGING 494
CONSEQUENCES OF MISSED MEDIASTINAL LYMPH NODE INVOLVEMENT 495
BENEFITS OF PREOPERATIVE DETECTION OF MEDIASTINAL LYMPH NODE INVOLVEMENT 495
THE IDEAL METHOD FOR PRETREATMENT MEDIASTINAL LYMPH NODE STAGING 495
NONINVASIVE METHODS OF MEDIASTINAL LYMPH NODE STAGING 496
ENDOSCOPIC NEEDLE BIOPSY OF MEDIASTINAL LYMPH NODES 496
TRANSCERVICAL MEDIASTINOSCOPY 497
THORACOSCOPIC LYMPH NODE SAMPLING AND LYMPH NODE DISSECTION 497
ANTERIOR MEDIASTINOTOMY 498
IMAGING VERSUS BIOPSY IN MEDIASTINAL LYMPH NODE STAGING 498
TRANSBRONCHIAL/TRANSESOPHAGEAL NEEDLE BIOPSY VERSUS MEDIASTINOSCOPY 498
RESTAGING OF THE MEDIASTINUM FOLLOWING NEOADJUVANT CHEMORADIOTHERAPY 499
WHO SHOULD UNDERGO INVASIVE MEDIASTINAL LYMPH NODE STAGING? 499
SUGGESTED APPROACH TO MEDIASTINAL LYMPH NODE STAGING IN LUNG CANCER 500
SUMMARY 500
REFERENCES 500
Thoracoscopic Lobectomy for Non–small Cell Lung Cancer 503
Key points 503
INTRODUCTION 503
Video-assisted Thoracoscopic Surgery Lobectomy as an Oncologic Procedure 504
Advantages of Video-assisted Thoracoscopic Surgery Lobectomy 504
Video-assisted Thoracoscopic Surgery Lobectomy: Impact on Other Pulmonary Resections 505
Video-assisted Thoracoscopic Surgery Lobectomy: Development of Uniportal Video-assisted Thoracoscopic Surgery 506
Video-assisted Thoracoscopic Surgery Lobectomy: Development of Robotic Assisted Video-assisted Thoracoscopic Surgery 507
Video-assisted Thoracoscopic Surgery Lobectomy: Development of Awake Thoracoscopy 508
THE DUKE APPROACH 508
Right Upper Lobectomy 509
Left Upper Lobectomy 510
Left and Right Lower Lobectomy 510
SUMMARY 511
REFERENCES 511
Robotic Lung Resection for Non–Small Cell Lung Cancer 515
Key points 515
INTRODUCTION 515
INDICATIONS 516
EQUIPMENT 516
PREOPERATIVE EVALUATION 517
PORT PLACEMENT 517
TECHNIQUE 519
Right Side 520
Left Side 520
WEDGE RESECTION 520
THE 5 LOBECTOMIES 521
Right Upper Lobectomy 521
Right Middle Lobectomy 522
Right Lower Lobectomy 523
Left Upper Lobectomy 523
Left Lower Lobectomy 524
AVOIDANCE OF INTRAOPERATIVE COMPLICATIONS/TROUBLESHOOTING 526
RESULTS 527
Perioperative Morbidity/Mortality 527
Oncologic Efficacy 527
Lymph Node Dissection 527
Cost 529
SUMMARY 529
REFERENCES 529
Pneumonectomy for Non–Small Cell Lung Cancer 533
Key points 533
INTRODUCTION 533
PREOPERATIVE WORKUP 534
Staging 534
Surgical Evaluation 535
Cardiopulmonary Evaluation 535
TECHNIQUE 536
Left Pneumonectomy 536
Right Pneumonectomy 541
PERICARDIAL RESECTION AND RECONSTRUCTION 542
PERIOPERATIVE MANAGEMENT 544
POSTOPERATIVE COMPLICATIONS 544
Cardiac Complications 544
Atrial fibrillation 544
Tamponade 545
Patch dysfunction 545
Cardiac herniation 545
Pulmonary Complications 545
Acute respiratory distress syndrome 545
Empyema 546
Bronchopleural fistula 546
Postpneumonectomy syndrome 546
QUALITY OF LIFE 546
REFERENCES 547
Stereotactic Body Radiotherapy and Ablative Therapies for Lung Cancer 553
Key points 553
STEREOTACTIC BODY RADIOTHERAPY 554
Clinical Results 555
COMPARING STEREOTACTIC ABLATIVE THERAPY WITH SURGERY 557
STEREOTACTIC RADIOTHERAPY VS SURGERY AND RADIOSURGERY OR SURGERY FOR OPERABLE EARLY STAGE NON-SMALL CELL LUNG CANCER TRIALS 558
A SURGEON’S VIEW 558
Future Trials 559
Toxicity of Treatment 560
MICROWAVE ABLATION 560
RADIOFREQUENCY ABLATION 561
PATIENT SELECTION 562
Combination of Ablative Therapies 563
SUMMARY 563
REFERENCES 563
Neoadjuvant Therapy in Non–Small Cell Lung Cancer 567
Key points 567
INTRODUCTION 567
DEFINITION OF NEOADJUVANT THERAPY 568
EARLY STUDIES ON NEOADJUVANT THERAPY 568
NEOADJUVANT THERAPY VERSUS ADJUVANT THERAPY 570
PATIENT EVALUATION OVERVIEW 571
Specific Indications for Neoadjuvant Therapy 572
Staging and Evaluation 574
CHEMOTHERAPY 574
RADIOTHERAPY 575
DEVELOPING THERAPIES 577
EVALUATION AFTER NEOADJUVANT THERAPY 578
TREATMENT RESISTANCE/COMPLICATIONS 578
OUTCOMES AND LONG-TERM RECOMMENDATIONS 579
SUMMARY/DISCUSSION 580
REFERENCES 580
Adjuvant Therapy for Stage I and II Non–Small Cell Lung Cancer 585
Key points 585
INTRODUCTION 585
PATIENT EVALUATION OVERVIEW 585
Tumor Factors 586
TNM stage 586
Tumor grade and lymphatic/vascular invasion 586
Histology 586
Margin status 586
Single biomarkers 586
Prognostic signatures and cell-cycle progression biomarkers 587
Host Factors 587
Age 587
Comorbidity and performance status 588
Smoking status 588
Time to adjuvant chemotherapy 589
PHARMACOLOGIC TREATMENT OPTIONS 589
Cisplatin-based Adjuvant Chemotherapy 589
Carboplatin-based Adjuvant Chemotherapy 591
Neoadjuvant Chemotherapy 591
COMBINATION AND BIOLOGIC THERAPIES 591
Bevacizumab 591
Epidermal Growth Factor Receptor Inhibitors and Other Biologic Agents 591
Immunotherapy 592
TREATMENT OPTIONS AND COMPLICATIONS 592
EVALUATION OF OUTCOME AND LONG-TERM RECOMMENDATIONS 594
SUMMARY 594
ACKNOWLEDGMENTS 594
REFERENCES 594
Targeted Therapy and Immunotherapy for Lung Cancer 601
Key points 601
INTRODUCTION 601
TARGETED AGENTS 602
Background 602
Epidermal Growth Factor Receptor Mutations 602
EML4-ALK Translocations 603
ROS1 Rearrangements 604
BRAF V600 Mutations 604
MET Amplification or Exon 14 Skipping Mutation 604
RET Rearrangements 604
HER2 Mutations 605
Recommended Testing 605
IMMUNOTHERAPY 605
Background 605
PD-1/PD-L1 Inhibitors 605
CTLA-4 Inhibitors 606
Future Directions 606
SUMMARY/DISCUSSION 607
REFERENCES 607
Local Therapy Indications in the Management of Patients with Oligometastatic Non–Small Cell Lung Cancer 611
Key points 611
INTRODUCTION 611
STEREOTACTIC ABLATIVE RADIOTHERAPY TREATMENT PRINCIPLES 614
STEREOTACTIC ABLATIVE RADIOTHERAPY FOR THE MANAGEMENT OF VISCERAL METASTASES 614
STEREOTACTIC RADIOSURGERY FOR MANAGEMENT OF BRAIN METASTASES 617
SUMMARY 620
ACKNOWLEDGMENTS 620
REFERENCES 620