How do you approach the discussion and decision-making regarding surgery vs SBRT for stage I NSCLC in patients who are candidates for both?

And, for additional information, what are the differences in 5 year survival and disease specific survival for stage I NSCCA between lobectomy vs SBRT?

Answer from: Radiation Oncologist at Academic Institution

First, I would provide available randomized and non-randomized prospective clinical studies that indicated that both modalities have similar 5-Y OS. I would review the side effects of surgery vs SBRT (G3+ 50+% vs 1-3%). I would discuss the limitations of the studies and SBRT. Finally, based on the ...

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Medical Oncologist at The START Center for Cancer Care
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How do you approach the discussion and decision-making regarding surgery vs SBRT for stage I NSCLC in patients who are candidates for both?

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