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. 2020 Jun;9(3):507–514. doi: 10.21037/tlcr.2020.04.11

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.