Most recent follow up recommendations stage 1a adenocarcinoma

Portal Forums Lung/Thoracic Cancer Imaging in Lung Cancer Most recent follow up recommendations stage 1a adenocarcinoma

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June 12, 2017 at 6:01 pm  #1290853    

debbie57

I had right upper lobectomy for stage pT1a/N0 adenocarcinoma (acinar) in March 2016. Please post the most recent follow up guidelines. Chest xray, low dose CT, CT with contrast, etc.
Thank you

June 12, 2017 at 9:06 pm  #1290854    
JimC Forum Moderator
JimC Forum Moderator

Hi Debbie,

Welcome to GRACE. In these circumstances, the practice essentially has remained unchanged in recent years. As Dr. Pinder stated:

“I tend to follow the NCCN (National Comprehensive Cancer Network) guidelines for follow-up of lung cancer patients. For the first 2 years, NCCN recommends history, physical and contrast CT chest every 4-6 months (I usually obtain them every six months). After that, annual non-contrast enhanced CTs are recommended by the NCCN. One of the reasons for following early stage lung cancer patients with CT is not only to diagnose a potentially curable recurrence but also to make sure that a new, separate lung cancer has not developed.” – http://cancergrace.org/forums/index.php?topic=1721.msg10113#msg10113

In the next post in that thread, Dr. West describes his very similar preferences.

JimC
Forum moderator


Jul 2008 Wife Liz (51/never smoker) Dx Stage IV NSCLC EGFR exon 19
4 cycles Carbo/alimta, 65% shrinkage
Tarceva maintenance
Mar 2010 progression, added Alimta, stable
Sep 2010 multiple brain mets, WBR
Oct 2010 large pericardial effusion, tamponade
Jan 2011 progression, start abraxane
Jun 2011-New liver, brain mets, add Tarceva
Oct 2011-Dx Leptomeningeal carcinomatosis; pulsed Tarceva
At rest Nov 4 2011
Since then: http://cancergrace.org/blog/jim-and-lisa

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