PRIMARY OBJECTIVES:
I. To assess the use of EBUS-TBNA after a PET/CT as a means of improving the accuracy of lymph node staging in patients considered for SBRT.
SECONDARY OBJECTIVES:
I. To assess the usefulness of PET/CT as a diagnostic test in identifying N1 versus N0 staging.
II. To compare survival and recurrence rates in patients with discordant PET/CT and EBUS-TBNA.
III. To describe EBUS-TBNA and SBRT related complications.
OUTLINE:
Patients undergo EBUS-TBNA before SBRT.
After completion of study, patients are followed up at 6 weeks, then every 3 months for the first 2 years then twice a year for the following 3 years, and annually thereafter.