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Comparison of Segmentectomy Versus Lobectomy for Non-small Cell Lung Cancer โ‰ค 2 cm in the Middle Third of the Lung Field

RecruitingNAAges 18 Years - 75 YearsAllThe First Affiliated Hospital with Nanjing Medicaโ€ฆ
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In plain words

What the trial is, and whether it could suit you

This study aims to investigate whether segmentectomy had non-inferiority long-term oncological effects (disease-free survival and overall survival) compared with lobectomy in the treatment of patients with early-stage non-small cell lung cancer โ‰ค 2 cm in the middle third of lung field.

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๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: 1. Patient aged 18-75 years old; 2. 6 mm โ‰ค tumor size โ‰ค 20 mm; 3. 0.25 \< CTR \< 1; 4. Center of tumor located in the middle third of the lung field; 5. ECOG score of 0,1 or 2; 6. Lung function (FEV1 โ‰ฅ 1 L and โ‰ฅ 70%); 7. Both lung segmentectomy and lobectomy could achieve R0 resection; 8. No serious cardiopulmonary complications, and could withstand both lung segmentectomy and lobectomy; 9. No hilus pulmonis and mediastinal lymph node metastasis and no distant metastasis; 10. Single tumor nodule or the concomitant nodule \< microinvasive tumor; 11. Written informed consent. Exclusion Criteria: 1. The tumor nodule is located in right middle lobe; 2. A history of other malignancies in the last 5 years (exclusion of early-staged thyroid cancer); 3. Have received preoperative anti-tumor therapy, including prior chemotherapy, radiation therapy, target therapy and so on; 4. A serious mental illness; 5. Pregnant and lactating women; 6. Congestive heart failure, myocardial infarction, severe stenosis of coronary artery within recent 6 months; 7. With the history of cerebral infarction or cerebral hemorrhage within 6 months; 8. With the history of sustained systemic corticosteroid therapy within 1 month; 9. The predicted surgical margin is less than 2 cm or the maximum diameter of the tumor at the 3D-CTBA 10. Other unsuitable situations;
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What it tests

  • Segmentectomy
  • Lobectomy
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Where

1 site
Jiangsu Province Hospital, The First Affiliated Hospital of Nanjing Medical University
Nanjing, China
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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