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Management of metastatic lung cancer

2K views 6 replies 6 participants last post by  Desos 
#1 ·
NOTE: this is a USMLE Consult-"inspired" question, so look away if you plan on using USMLE Consult as a measure of your progress.


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A 79-year-old man has been in a hospice facility for 4.5 months. He was diagnosed with metastatic small cell lung cancer 3 years ago. There are metastases to the brain, liver, and spinal column. His mood is positive, and he is grateful that his family and friends have been visiting him. He has no questions and is comfortable with his current place in life. Which of the following is the most appropriate management option?

A. consult with physicians for a brain biopsy
B. pursue lung transplantation
C. refer to a neurosurgeon
D. transfer to a hospital
E. provide palliative care
 
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