Lung Cancer Clinical Trial
Official title:
Randomized Trial of Mediastinal Lymph Node Sampling Versus Complete Lymphadenectomy During Pulmonary Resection in the Patient With N0 and N1 (Less Than Hilar) Non-Small Cell Carcinoma
RATIONALE: Surgical removal of all lymph nodes in the chest may kill cancer cells that have
spread from tumors in the lung. It is not yet known whether complete removal of all lymph
nodes in the chest is more effective than removal of selected lymph nodes in treating
patients who have stage I or stage II non-small cell lung cancer.
PURPOSE: Randomized phase III trial to compare the effectiveness of complete removal of all
lymph nodes in the chest with that of selected removal of lymph nodes during lung cancer
surgery in treating patients who have stage I or stage II non-small cell lung cancer.
OBJECTIVES:
- Compare whether a complete mediastinal lymph node dissection versus mediastinal lymph
node sampling improves overall survival of patients with N0 or non-hilar N1 non-small
cell lung cancer undergoing resection.
- Compare these two methods with reference to identification of occult mediastinal lymph
node involvement.
- Compare the effect of these two methods on operative time and duration of postoperative
complications, including chest tube drainage and length of hospitalization for these
patients.
- Compare the effect of these two methods on local recurrence free survival and local
regional recurrence free survival of these patients.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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