Abstract

Key Points Most patients (82%) present with locally advanced disease. Most patients (90%) have a smoking history, over one third have poor PS and all have co‐morbidities (58% single, 42% multiple). 7% of patients were unsuitable for investigations to obtain a histological diagnosis, nearly half of patients were unsuitable for anti‐cancer treatment. In those treated radically, the pattern of treatment failure is loco‐regional. Multi‐modality treatment with surgery and RT appears to confer a survival advantage in patients with stage 4a/b disease.

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