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. 2021 May 5;30(160):200227. doi: 10.1183/16000617.0227-2020

TABLE 2.

Considerations in the multidisciplinary decision about locally definitive treatment

Surgery Radiotherapy Combined
Adequate functional status Multilevel or bulky N2 Local tumour control is very important
Bulky, necrotic tumours with possible complications (Small) tumours with multiple mediastinal lymph node involvement Locally invasive tumours with slim possible resection margins (e.g. superior sulcus tumours)
Multiple nodules in the same lobe Reasonable dose affections of lung and heart
No pneumonectomy necessary PD-L1 inhibition possible

PD-L1: programmed death ligand 1.