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Radiofrequency Ablation (RFA) for Lung Tumors

March 6, 2007 - 11:55 pm

   Several people have asked about the technique of radiofrequency ablation, or RFA, for lung tumors.   RFA is a pretty specialized approach in which a needle probe is inserted through the skin, under visual guidance using a CT or ultrasound, to go directly into a tumor.  The tip is then pushed out and splays into a shape like the […]

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Lobectomy vs. Limited Resection: Different Approach Based on Age?

February 10, 2007 - 1:24 pm

    While the prevailing standard of care for resectable lung cancer is a lobectomy or pneumonectomy, we want the surgery to be as appropriate as possible for patients.  That means not short-changing patients by doing a lesser surgery than they need to do as well as possible with the cancer, but also not overtreating patients […]

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Adjuvant Chemo in Older Patients: Feasible and Beneficial?

January 29, 2007 - 5:41 pm

   Chemotherapy after surgery has become increasingly well established as beneficial for many patients who have undergone surgery for early stage NSCLC, at least for stage II and IIIA resected disease (stage IB has had more mixed results and remains quite debatable).  The chemo regimens that have been most clearly shown to confer improved survival […]

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Targeted Therapy in Older and Sicker Patients: A Replacement for Chemo?

December 8, 2006 - 6:21 pm

   The emergence of targeted therapies provides a goal of treating the cancer more selectively, thereby minimizing side effects, while hopefully achieving results as good as or better than standard chemotherapy.  Although this is important in the entire population of cancer patients, this is a particularly welcome benefit in patients who may be reluctant to […]

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Does Age Matter? Treating Older Patients with Advanced NSCLC

December 7, 2006 - 2:06 pm

  We know far too little about the best way to treat older patients with NSCLC, that lung cancer, like many other cancers, is a disease highly related to advanced age.  First, how do we define an older, or elderly, population in cancer treatment terms?  Beyond the joke that it increases as the person answering gets older, […]

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