How would you manage a patient with a superior sulcus tumor of the lung treated with upfront surgery, who achieves negative margins and has negative mediastinal nodes?

The guidelines are unfortunately unhelpful and conventional wisdom may be to consider tri-modality therapy. But, there is room for pause.

Let us remember that surgery for superior sulcus tumors was initially deemed futile. That is until Chardack and MacCallum reported the first successful survivor wi...