This has been "Pulmonary Nodule Week on Pulmonary Roundtable"!
This is a follow-up on the 65 y/o former smoker with poor PFTs and the suspicious lesion. After the poor response to bronchodilators we did perform a PET: it revealed significant uptake by the nodule and no other abnormal areas. We discussed it with our CT surgeons who felt very hesitant about a lobectomy. Instead they did a mini-thoracotomy wedge resection of the area. It revealed a 2x2x1.8 cm poorly differentiated squamous cell-Ca. We have consulted hem-onc and since this was a wedge and not a full lobectomy they have recommended ChemoTx/xRt. We don't do RF ablation here so I felt the wedge with follow-up Tx was as close to it as we would get. She has done very well post-op and should be home soon (surgery was 2 days ago) with hem-onc f/up.
Thursday, October 20, 2005
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Are there any data that wedge resection (with or without adjuvant chemo and/or XRT) in cases like this is any better than definitive XRT alone?
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