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Onco Checklist >> NSCLC Staging

 

HistologyResult
 Biopsy from primary tumor or metastases 
 In unclear cases, request TTF1-staining to differentiate between lung (and thyroid) and other primary tumor sites. 


Patient historyResult
 History of smoking 
 Weight loss 
 Cough / hemoptysia 
 Bone pain 


Physical examinationResult
 Heart / lungs, abdomen (ascites?, palpable lymph nodes, superior vena cava syndrome?) 
 Height and weight 
 Blood pressure and frequency 


Clinical chemistryResult
 Blood count
Electrolytes
Creatinine
Creatinine clearance (calculated)
Liver enzymes (AST; ALT; G-GT)
Bilirubine
ESR
AP
Coagulation parameters (incl. ATIII, D-dimers, fibrinogen)
LDH
CRP
 
 Tumor markers: CEA, CYFRA21, SCC (if squamous cell carcinoma) 


VirologyResult
 HIV 1 and 2  
 Hepatitis B 
 Hepatitis C 


 Imaging and further examinationsResult
CT of thorax, abdomen, eventually MRI (if involvement of bones, pericardium, etc) 
Bone scintigraphy (in case of symptoms) 
FDG-PET (if M0-status)
 
MRI of head (in stage III or in case of symptoms) 
If necessary, mediastinoscopy (if M0 and  N2 or N3 according to imaging)
 


 Referral to other specialtiesResult
Referral to surgery, if not stage IV 
Referral to radiotherapy (e. g. for radiochemotherapy or palliative radiation of brain or bone metastases) 
Palliative medicine 


Studies Result
 Inclusion in study possible? 
 Study: yes no



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