The stage of the disease can be anywhere between IB and IIIB.įigure 2 Centrally located tumour, axial view. In T3, the pericardium or phrenic nerve are involved and in T4 mediastinum structures like superior vena cava (SVC), recurrent laryngeal nerve, carina, trachea or spine are involved. According to the 8 th edition of UICC TNM classification for lung cancer ( 6), in T2 there is involvement of the main bronchus without carinal involvement, regardless of the distance from the carina. Hilar or centrally located lung tumours display as a heterogeneous group, which includes T2, T3 and T4 status ( Figures 1 and 2 ). Surgical management can still be offered in selected cases of locally advanced disease. Unfortunately, the majority of patients are diagnosed with an advanced disease at presentation. Surgical resection offers the best chance for curative treatment for early-stage and selected cases of locally advanced lung cancer ( 4, 5). Thus, it is essential to distinguish between operable and non-operable patients. Correct clinical staging, although challenging, defines the extent of the disease, determines treatment and impacts survival. Overall survival for clinical stage IIIB non-small cell lung cancer remains, disappointingly, at 26% in 5 years ( 3). Lung cancer is the leading cause of cancer worldwide, with more than 1.8 million new cases diagnosed each year ( 1, 2). Received: Accepted: 19 October 2018 Published: 26 October 2018.

Keywords: Hilar tumours lung cancer extended resections exploratory thoracotomy Policy of Dealing with Allegations of Research Misconduct.Policy of Screening for Plagiarism Process.

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