Lung Cancer Clinical Trial
Official title:
Pre-Resection Minimally Invasive Surgical Restaging of Stage III (Mediastinal Node Positive) Non-Small Cell Lung Cancer (NSCLC)
RATIONALE: Diagnostic procedures such as thoracoscopy may help to measure a patient's
response to previous treatment.
PURPOSE: Diagnostic trial to determine the accuracy of thoracoscopy in patients who have
stage IIIA non-small cell lung cancer.
OUTLINE: The purpose of this study is to test the usefulness and safety of restaging the
patient's cancer by a procedure called a thoracoscopy. Restaging is a process by which
physicians measure the response of the patient to treatment. The primary and secondary
objectives are described below.
OBJECTIVES:
Primary Objective:
1. Evaluate the feasibility of using videothoracoscopy to access and identify residual
viable cancer in mediastinal lymph nodes and/or evaluate for other conditions which render
patients unresectable (pleural carcinomatosis or T4 primary tumors) following prior
mediastinoscopy and a period of neoadjuvant therapy for Stage IIIA N2 non-small cell lung
cancer.
Secondary Objectives:
1. Evaluate the safety (morbidity and mortality) of pre-resectional, thoracoscopic
restaging of patients who have undergone prior mediastinoscopy and induction therapy
for Stage III (N2) NSCLC.
2. Assess the accuracy (false-negative rate) of thoracoscopic mediastinal node restaging
after prior mediastinoscopy and induction therapy.
;
Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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