A 62-yr old chronic smoker has an episode of hemoptysis.Other than a barrel chest suggestive of COPD,his P/E is unremarkable.A CXR shows a central hilar mass.Bronchoscopy and biopsy establish the diagnosis of squamous cell carcinoma of the lung.Pulm.function studies show that he has FEV1 of 2200 ml,and ventilation perfusion scan shows that 30% of his pulm function comes from affected lung.Which of the following is the most appropriate next step in management ?
A.CT scan of chest and upper abdomen
B.Radiation and chemotherapy
C.Random sampling of supraclavicular nodes
D.Lobectomy
E.Pneumonectomy
I would assume that if Sx is the case, CT scan is the next step to analyze the extent and look for other abnormalities.
Please give us the answer. I hate when questions are posted and no answer was given.
I would answer A. and also agree with Dr. Paez, but i would think CT is first, that is just my opinion.
Hmmm I didn't even think about the calculation, but based on approaching Ca from other systems too, CT would be good to know the extent of mets.
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