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

Answer from: Medical Oncologist at Community Practice
Medical Oncologist at NYU Winthrop Hospital
I will try to obtain Tissue diagnosis for left sid...
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