RECURRENCE

FOLLOWUP

  • Routine CT and H&P 4-6 month for 2 years then annually
  • Smoking cessation

LOCOREGIONAL RECURRENCE

RESECTABLE

  • re-resection

ENDOBRONCHIAL OBSTRUCTION

  • relieving airway may increase survival

Treatment

  • endobronchial RT
  • laser
  • endobronchial stent

MEDIASTINAL LN RECURRENCE

  • ChemoRadiation (if RT has not been given previously)

SVC Obstruction

  • RT or stent placement

Severe hemoptysis

  • brachytherapy
  • laser
  • embolization
  • surgery to remove the bleed (ultimately)

DISTANT RECURRENCE

  • palliation of symptoms with external-beam RT
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