What are my treatment options?

When cancer is caught at Stage I, there are several highly successful, targeted treatment paths available. This page outlines the standards of care for early-stage lung cancer, including surgery, radiation, and advanced systemic therapies. Understanding these choices will help you feel confident and informed when discussing the next steps with your medical team.

What is the standard treatment for Stage I NSCLC?

For Stage I lung cancer, treatment is focused on completely removing or destroying the tumor. This video outlines the established standards of care and provides a clear benchmark for what clinical guidelines recommend for early-stage diagnoses.

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What are the standards of care for Stages I, II, and IIIa NSCLC?
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How does surgery play a role in my treatment?

Surgery is often the primary and most effective treatment option for Stage I NSCLC. This video breaks down the different types of surgical procedures and explains how your surgeon decides which approach gives you the best possible outcome.

What are the different types of lung cancer surgeries, and when is each one used?
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How does radiation play a role in my treatment?

Radiation therapy is a powerful, non-invasive alternative to surgery that uses targeted energy to destroy cancer cells. In these videos, specialists discuss how radiation therapy fits into a treatment plan.

How does radiation therapy work to fight lung cancer?
What are the different types of radiation therapy?
If I have early-stage lung cancer but cannot have surgery, what are my radiation options?
Why do I need another CT scan for radiation planning, and what are the tattoos for?
How do you protect healthy organs, like my heart and esophagus, during my treatment?
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What is the role of chemotherapy and neoadjuvant/adjuvant therapies?

Chemotherapy is a treatment that uses drugs to stop the growth of cancer cells. Chemotherapy also attacks healthy cells.

Sometimes, fighting lung cancer requires treating the whole body to prevent the disease from returning. Here, cancer specialists explain the roles of chemotherapy, immunotherapy, and targeted therapies, including the difference between receiving treatments before surgery (neoadjuvant) versus after surgery (adjuvant).

What is the difference between neoadjuvant and adjuvant therapy?
How does a multidisciplinary team decide if a patient should receive treatments before surgery?
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How does targeted therapy play a role in my treatment?

Targeted therapy is a type of treatment that finds and attacks certain parts of cancer cells and the signals sent to cancer cells that cause them to grow uncontrollably. They prevent the growth of cancer cells only and do not harm healthy cells.

A targeted therapy works to control a specific biomarker, so it can only treat patients with that specific biomarker. Targeted therapy may be used after surgery in patients with a known biomarker.

How does immunotherapy play a role in my treatment?

Immunotherapy is a type of treatment that helps your immune system find and attack lung cancer. It is already a standard-of-care treatment for patients with NSCLC.

Many of the FDA-approved immunotherapies target another type of biomarker called PD-1/PD-L1. Because research has found PD-L1 biomarkers along with NSCLC mutations in patient tumor samples, clinical trials are now learning if immunotherapy works to treat different types of NSCLC mutations. Other clinical trials are underway to look at combinations of targeted therapy and immunotherapy for treatment of various NSCLC subtypes. However, it is important to wait for biomarker testing results before initiating treatment for NSCLC because, in some cases, it can be harmful to start immunotherapy if driver mutations are present. Immunotherapy may be given with chemotherapy.

Could a clinical trial be right for me?

Clinical trials are not just a last resort; they represent the absolute cutting edge of modern cancer medicine. In these videos, healthcare providers demystify the different phases of clinical trials and highlight how recent discoveries are changing the way early-stage lung cancer is treated.

What have we learned about early-stage NSCLC from clinical trials over the last few years?
What are the different phases of clinical trials and their objectives?
Click here for more information about clinical trials.