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Non-Small Cell Lung Cancer Treatment (PDQ®): Treatment - Patient Information [NCI] - Stages of Non-Small Cell Lung Cancer


(2) Cancer has spread to lymph nodes on the same side of the chest as the tumor. The lymph nodes with cancer are near the sternum (chest bone) or where the bronchus enters the lung. Also:

  • The tumor may be any size.
  • There may be separate tumors in different lobes of the same lung.
  • Cancer has spread to any of the following:
    • Heart.
    • Major blood vessels that lead to or from the heart.
    • Trachea.
    • Esophagus.
    • Nerve that controls the larynx (voice box).
    • Sternum (chest bone) or backbone.
    • Carina (where the trachea joins the bronchi).

Stage IV

Stage IV non-small cell lung cancer. The cancer has spread to the other lung, and/or to lymph nodes, fluid around the lungs or heart, and/or other places in the body, such as the brain, liver, adrenal glands, kidneys, or bones.

In stage IV, the tumor may be any size and cancer may have spread to lymph nodes. One or more of the following is true:

  • There are one or more tumors in both lungs.
  • Cancer is found in fluid around the lungs or the heart.
  • Cancer has spread to other parts of the body, such as the brain, liver, adrenal glands, kidneys, or bone.

WebMD Public Information from the National Cancer Institute

Last Updated: February 25, 2014
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
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