0
Editorials: POINT/COUNTERPOINT EDITORIALS |

Counterpoint: Are Limited Resections Appropriate in Non-small Cell Lung Cancer? NoLimited Resections for NSCLS? No: Don’t Overdo It, and Don’t Get Confused

Frank C. Detterbeck, MD, FCCP
Author and Funding Information

Department of Surgery, Division of Thoracic Surgery, Yale University School of Medicine.

Correspondence to: Frank C. Detterbeck, MD, FCCP, Yale University School of Medicine, Thoracic Surgery, 330 Cedar St, BB205, New Haven, CT 06520-8062; e-mail: Frank.detterbeck@yale.edu


Financial/nonfinancial disclosures: The author has reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (http://www.chestpubs.org/site/misc/reprints.xhtml).


© 2012 American College of Chest Physicians


Chest. 2012;141(3):590-592. doi:10.1378/chest.11-3110
Text Size: A A A
Published online

Extract

There is a growing interest in considering limited resection for non-small cell lung cancer (NSCLC). We should start by being clear about the question being debated: Is a limited resection appropriate as a general policy for management of NSCLC? Limited resection is understood to be a sublobar resection, including both a wedge resection and an anatomic segmentectomy. The question posed here pertains to patients in general and not to the subgroup of patients believed unable to tolerate a lobectomy (sublobar resection as a necessary, acknowledged compromise). We are asking whether the long-term (and short-term) outcomes are sufficiently equal to lobectomy. Although the question does not specify stage, for purposes of this discussion I will assume we are only talking about clinical stage IA NSCLC (tumors ≤3 cm, with no evidence of nodal involvement).

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543