Complete en bloc resection with microscopically clear margins and multimodality treatment may increase survival in NSCLC patients with aortic invasion.
Should not alter practice for T4 NSCLC with aortic invasion; leaves open multimodality survival benefit.
The number of operations performed worldwide for T4 is still limited although the complete anatomical resection is the best treatment option for non-small cell lung cancer (NSCLC). Aortic invasion and its surgical treatment is accepted as one of the extreme situations. Surgical management with low morbidity and mortality, complete en bloc resection with microscopically clear margins with no nodal disease, and inclusion of multimodality treatment may increase survival.
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Coşgun et al. (2018) studied this question.
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