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Non-small cell lung cancer (NSCLC) is staged by tumor size, level of spread to the lymph nodes and spread to other organs:
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Stage 0. Cancer is located in the air passages only. No lung tissue is affected. Cancer treated at this stage can often be cured.
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Stage I. Cancer is in the lung tissue only. Lymph nodes are not affected.
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Stage II. Cancer is located in the lung and nearby lymph nodes and the chest wall.
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Stage IIIA. Cancer is located in the lung and distant lymph nodes.
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Stage IIIB. Cancer is located in the lung and spread locally to the heart, blood vessels, trachea and esophagus within the chest wall.
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Stage IV. Cancer may be located in both lungs and has spread to distant organs such as the liver, brain or bones.
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Recurrent. Cancer that recurs after treatment and may return to the lung or other parts of the body.
Stages 0 through IIIA are potentially resectable, meaning they can be surgically removed. Stages IIIB and IV are generally treated with chemotherapy and/or radiation therapy and other treatments. Radiation and/or chemotherapy may be combined with surgery to either reduce the size of a tumor and to improve surgical results.
The five-year survival rate for non-small cell lung cancer is as follows:
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Stage
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5-Year Survival Rate
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I
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47 percent
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II
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26 percent
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III
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8 percent
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| IV |
2 percent |
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All stages
combined
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15 percent
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