What are the appropiate staging studies for patients with
stage III disease?
§
All CT scan is recommended as initial step
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curative treatment: PET is recommended
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multiples sites
§
if the evidence is not overwhelming: pathological
confirmation
stage IV is recommended
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Enlarged mediastinal lymph nodes on CT or high
uptake on PET scan:
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confirmation
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16% of patients with apparent stage III lung cancer
have brain metastases
: brain MRI is recommended as
part of the initial staging test for stage III lung cancer
Schmdt-Hansen M JAMA 2015; Murgu SD Chest 2015; Ettinger JNCCN 2016