Lung Cancer Staging

After a lung cancer is diagnosed, describing the extent of lung cancer spread (staging) is crucial to establishing prognosis and guiding treatment planning. Learn how lung cancers are staged with medical imaging, and what you can provide in your interpretation to make staging more accurate and efficient.
Download these slides at: drive.google.com/file/d/1BFcH...
00:00 - Introduction
00:44 - Treatment: Surgery
03:16 - Treatment: Radiation
03:50 - Treatment: Chemotherapy
04:27 - Treatment: Targeted Therapy
05:10 - Treatment: Immunotherapy
06:04 - Staging Small Cell Lung Cancer
07:49 - Staging Non-Small Cell Lung Cancer
12:11 - Classifying Tumor Invasion/Growth on CT
17:28 - Classifying Regional Lymph Node Spread on CT
20:48 - Classifying Distant Metastasis on CT
23:45 - cTNM vs. pTNM Stage

[@charlenemetcalf4246]

I quit smoking and two month later I was diagnosed with non small cell lung cancer. I had a large area in top of left lung and a small are in the lower portion of the lung. My right lung had the beginnings of emphysema. They said they could try chemo but it would probably only buy me a year longer. I have opted for no treatment and am just enjoying time with my family. I never asked what stage I was or how long I have. Just taking it day by day and not having doctor appointments, tests or poison pumped into my body.

[@ifargantech]

Sorry to hear, dude!

[@mikewatt8706]

did you quit smoking when your body had enough. my dad did the same. he quit when he could no longer breath. why do we abuse our bodies like this. iv smoked on and off over the years but with lobg breaks in between. i wish u luck.

[@charlenemetcalf4246]

@@mikewatt8706 No. I was having no problems with breathing only had a dry cough. I quit because my son and his wife were going to quit. I made it while unfortunately they are both still smoking even though they know I have lung cancer. Strange world at times.

[@user-eo9dc5gs8k]

I wish you many fond memories until the end. Thank you for sharing. I'm here to better understand lung cancer as my sister just diagnosed with adenocarcinoma in both lungs and I don't know the stage yet or the treatment plan. Lots of videos have helped with this complicated subject. Edit: She passed away 3-7-24 exactly 1 month after her diagnosis. I'm still in shock. She was in lots of pain very suddenly and she said she'd rather die than have another bad day like she had 2 days before her death. The remaining 3 siblings (including me) are grateful she went quickly and we are still in shock. I haven't cried yet.

[@charlenemetcalf4246]

@@user-eo9dc5gs8k I will pray for your sister and for you. It's not an easy thing to go through. God Bless

[@Obayda55]

great informative video as usual

[@pty-vm4cj]

Thank you very much for this informative video. Greatly appreciated. Could you please direct me to find information on the growth rate of squamous cell carcinoma lung cancer? I am unclear if this is a fast agreesive or slow moving cancer. Much gratitude

[@immane75]

Excellent .

[@GiorgiGersamia.]

thanks you very much. where can i look for survival rates for different stages and tnm ?

[@radiologyframeworks]

This may be a good place to start: www.researchgate.net/publication/317152177_Evaluation_of_the_7th_and_8th_editions_of_the_AJCCUICC_TNM_staging_systems_for_lung_cancer_in_a_large_North_American_cohort#fullTextFileContent

[@Mood-lq6du]

Thanks for the great talk as always. If there is more than a single non-regional 'thoracic' lymph node, would it still be M1b or push it into M1c category?

[@radiologyframeworks]

Thanks @Mood-lq6du. In our current practice, lung cancer spread to multiple non-regional thoracic lymph nodes, but with no extrathoracic metastasis, would still be classified as M1b.

[@Mood-lq6du]

Thanks a lot for clarifying. Very helpful.

[@chrisgustafson9342]

my pulmanologist thinks I have either aspergilliosis or blastomycosis or cancer. I have a 22 mm ground glass opacity in left upper lobe and a 5.9mm nodule with four nodules nearby less the 4 mm as of April 5, 2023. Next CT with Iodine contrast July 5th

[@charlenemetcalf4246]

Thoughts and prayers are with you. Hope your results are in your favor and that it was caught soon enough for a great outcome.