This is the woman with B/L pulmonary nodules. I was also concerned about these non-calcified nodules so she had a PET scan and we performed a bronch. Both nodules lit up on PET and she had some faint, low-SUV uptake in the mediastinal nodes. The TBBx of the R lesion were + for a non-small-cell lung Ca.
She has good PFTs.
What would you do next?
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Our plan was the same as that suggested by Doug: since we had tissue from the right and she is a good surgical candidate, she is having a wedge of the L with a med because of the faint nodal uptake. Depending on results from path she may get just a R or a bi-lobectomy. I will post the results after her surgery.
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