Follow-up to the lung mass with adrenal mass

This is the 75 y/o woman with NSCLCa and a "hot" adrenal on PET. My inclination was the same as Jeff H's: sample the adrenal. It is simpler than a lobectomy and it could be the difference between curative therapy for a IIB or palliative therapy for a IV NSCLCa. However, the patient made the decision for us (as it should be, it is ultimately their choice): she did not want surgey, laparoscopy, lobectomy or else. She has had previous vascular surgeries, abdominal surgeries, etc. and was very resistant to have anymore and opted for "conservative" oncologic care with the assumption that she has stage IV disease...