tag:blogger.com,1999:blog-12660458.post113097196949309307..comments2023-09-01T10:33:09.297-04:00Comments on Pulmonary Roundtable: Follow-up to abnormal CxRUnknownnoreply@blogger.comBlogger2125tag:blogger.com,1999:blog-12660458.post-1131051375636761632005-11-03T15:56:00.000-05:002005-11-03T15:56:00.000-05:00I'd just do the quantitative V/Q scan and, if bord...I'd just do the quantitative V/Q scan and, if borderline, a CPET.Jeff Hhttps://www.blogger.com/profile/01209432708535732499noreply@blogger.comtag:blogger.com,1999:blog-12660458.post-1130983834909962552005-11-02T21:10:00.000-05:002005-11-02T21:10:00.000-05:00Well, that there was collapse of the lung due to t...Well, that there was collapse of the lung due to the cancer makes it a T3 (thus whether the lesion was more than 2cm from the carina is not an added consideration since it's already a T3). The negative effusion is good (thus avoiding a T4 classification). If there are no nodes, this could conceivably still be a stage IIb wich would make it amendable to surgery. The poor FEV1 is likely not to be as bad once the collapse is resolved, therefore this is not necessarily a sign of inoperability. I would get a PET to help determine if there is mediastinal involvement. If, after tht workup we are still left with a stage IIb, I would refer him to CT surg. As far as the FEV1, again, the CT *suggests* that the other lung is relatively free of severe emphysema...Jenningshttps://www.blogger.com/profile/04930453447603683057noreply@blogger.com