Complete or even partial resection may be sufficient
Curative resection is usually possible for Stage 1 disease and sometimes for Stage 2A.
If biologically favorable and localized tumor which is incompletely resected (stage 2A and stage 2B) - treat with surgery alone
Overall survival rate greater than 95%.
One course of chemotherapy consists of four 3 week cycles
Each cycle has different combination of 4 drugs
One course of chemotherapy indicated for:
- Life or organ-threatening symptoms at diagnosis
- Progressive or recurrent disease
- < 50% of tumor resected
- Disease recurs or progresses after observation and has favorable histology
Give 2 courses if:
- Recurs or progresses with unfavorable histology
For more information about the individual chemotherapeutic agents please see the chemotherapy section: