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Old 06-14-2012
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Lungs lung adenocarcinoma...best therapy

A 58-year-old man presents to the emergency department with
complaints of a cough and shortness of breath. He has a history
of smoking two-packs per day for 40 years. Physical
examination reveals a well-developed, well-nourished male
appearing older than the stated age. He is afebrile. His chest is
clear with distant breath sounds. The rest of the physical
examination is benign.

Chest x-ray reveals a 2-cm mass in the right upper lobe. CT scan
of the chest reveals a 2-cm spiculated mass with unilateral hilar
lymph nodes. The patient undergoes fiberoptic bronchoscopy
with biopsy of the endobronchial lesions and is noted to have
adenocarcinoma.

What is the best therapy?

(A) Cisplatin and etoposide
(B) Radiation
(C) Surgical resection
(D) Palliation only
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Old 06-14-2012
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C.........????
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Try Not To Become A Man Of Success But A Man Of Value.
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  #3  
Old 06-14-2012
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Standard care (correct me if I'm wrong) for this, which is early stage would be

1) Surgery then
2) Radiation (to eliminate any metastasized cancer).

If it were bigger, then you'd do chemo 1st to shrink tumor before trying to remove, though non small cell isnt always as responsive to chemo.

Source: surgery clinical rotation preceptor
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patelMD (06-14-2012), stepdoc1 (06-16-2012)



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