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case of lung cancer

2K views 6 replies 4 participants last post by  patelMD 
#1 ·
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

Do explain also..
 
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