Principles of Therapy

Therapeutic options consist of:

Surgery is the best option in:. 
Non-small cell cancer in stages 1, 2, 3a
Acceptable general condition as a surgical candidate 
In general, small cell cancer is not a surgical disease.
Radiation Therapy
If the general condition precludes the patient from being a surgical candidate, Radiation therapy is chosen. 
Palliative Radiation therapy has an important role for relief of symptoms in inoperable cases.
Chemotherapy is the treatment of choice for small cell cancer. Its role in NSCC is under investigation.
Supportive Care

One needs to consider the following  to determine the best option.