Onco Checklist >> NSCLC Staging

 

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

	Patient history	Result
	History of smoking
	Weight loss
	Cough / hemoptysia
	Bone pain

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

	Clinical chemistry	Result
	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)

	Virology	Result
	HIV 1 and 2
	Hepatitis B
	Hepatitis C

	Imaging and further examinations	Result
	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 specialties	Result
	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