Answer: c, e
Survival after resection for non-small cell lung cancer is related to the stage of the disease with a strong adverse
effect from nodal involvement. This is true even for large peripheral tumors that extend into the chest wall as in this case where a 40–50% survival would be expected in the absence of nodes (T3N0:Stage IIIa) but only a 15% survival with nodal involvement. Radiation therapy would be a postoperative consideration to reduce the incidence of local recurrence. En bloc operative resection of the involved lobe and mediastinal nodes for staging would offer the greatest likelihood of cure.
Category:
Surgery MCQs
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