Topics:
Radiation Oncology • Thoracic Malignancies • Medical Oncology • Thoracic Surgery • NCI-CCC Tumor Board Question • Ohio State University
How would you approach a biopsy proven NSCLC patient with mediastinum negative disease and contralateral suspicious spiculated PET avid nodule without pathologic diagnosis?
No other site of metastatic disease. It is unclear if this situation should be managed as two separate primaries or metastatic disease.
Answer from: Medical Oncologist at Academic Institution
This is a scenario I have faced before. Sometimes unfortunately in spite of staging studies, the stage a lung cancer patient has might remain a bit unclear. In this situation if this is a functioning patient with good PFTs who is a surgical candidate I would consider treating him like he has 2 ...
Sign in or Register to read more
Answer from: Medical Oncologist at Community Practice
The patient either has two primaries or oligometastatic disease and biopsy of the left-sided lesion could be important in distinguishing the two although the whole point may be academic; both lesions need to come out sequentially if the patient is fit. I reserve SBRT for patients unfit for surgery s...
Comments
Medical Oncologist at NYU Winthrop Hospital
I will try to obtain Tissue diagnosis for left sid...
I will try to obtain Tissue diagnosis for left sid...