Table 4. Discordant cases between WFO and the MDT recommendation by stage.
Stage | Discordant case, No. | WFO suggestion | MDT suggestion | Causes of discordance [No. of cases] |
---|---|---|---|---|
Stage I NSCLC | 1 | Surgery | RT | Combined IPF [1] |
2 | RT | Surgery | Patient’s preference [2]Ϯ | |
Stage II NSCLC | 4 | Surgery | CCRT | Risk for pneumonectomy [2]ф Inadequate surgical candidate [1] |
RT | Inadequate surgical candidate [1] | |||
1 | CCRT | RT | Risk for chemotherapy [1] | |
Stage III NSCLC | 2 | Surgery | CCRT | Risk for pneumonectomy [1]ф |
RT | Inadequate surgical candidate [1] | |||
12 | CCRT | Surgery | Patient’s preference [3]Ϯ | |
RT | Risk for chemotherapy [3] | |||
Medical treatment | Inadequate CCRT candidate [3] Suspected advanced stage [2]ǂ For targeted therapy [1] | |||
Limited SCLC | 2 | CCRT | Surgery | For tissue diagnosis [1]Ұ |
Medical treatment | Inadequate CCRT candidate [1] |
Ϯ, necessity to try surgical resection such as young age patient or patient's will; ф, mass site was considered to need pneumonectomy during surgery, which will be an impossible burden on patients; ǂ, include pleural effusion which had not be proven by cytology and too extensive size of mass; Ұ, clinically suspected to be SCLC, but not proven by biopsy. NSCLC, non-small cell lung cancer; SCLC, small cell lung cancer; WFO, Watson for Oncology; MDT, multidisciplinary team; IPF, idiopathic pulmonary fibrosis.