Replies to Yes thats it. Some surgeons will say if Stas is present you need a completion lobectomy,…

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Lung Cancer | Last Active: May 25, 2023 | Replies (30)

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@lilly2

Yes thats it. Some surgeons will say if Stas is present you need a completion lobectomy, while others including mine does not. My surgeon said if he thought I needed a completion lobectomy ( to go back in and take out the remainder of the lobe) he would do it. In some trials there seems to be a significant chance of recurrence wiyh a wedge rescetion verses a lobectomy when Stas is present. My Dr said the trials never talk about those who go on to be fine. So I will be followed as I guess we all are. Thanks!

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Replies to "Yes thats it. Some surgeons will say if Stas is present you need a completion lobectomy,..."

vic83 | @vic83 | May 25, 2023

I just had my second wedge resection - this time LUL (first time RUL). My Pathology report says Spread Through Air Spaces (STAS) Present - it did not for the first nodule resection. I know what that means (I researched it) and I am asking my doctors how they will adjust my treatment plan - I have multifocal so have another nodule which needs radiation in a different lobe.
I was wondering if they would consider going back in and taking out the lobe where resection was done. So I appreciated your comment on lobectomy. Where is your doctor located?
I also saw research paper about resection vs lobectomy. But there is little info available, so we are data points now. I read 15% to 50% small nodules are STAS present.
So how long has it been since your first identified STAS present? No new growths? What kind of observation schedule are you on now? No other therapy?
I know STAS present has negative impact on prognosis.

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