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Advice for non small lung cancer - sqcc
Hello Doctor, Seeking your opinion regarding a 71-year-old patient diagnosed with NSCLC favor squamous cell carcinoma (P40 diffuse positive, TTF1 negative) involving the right upper lobe. PET-CT shows a spiculated RUL lesion approx. 3.0 × 4.7 × 4.0 cm with SUV max 16.58. Mildly FDG-avid hilar/paratracheal nodes (SUV ~4.2) with some calcification noted. EBUS/TBNA from stations 4R, 7 and 11L showed no evidence of malignancy. Current staging documented as cT2bN1M0 (Stage IIB). Proposed plan is neoadjuvant chemotherapy followed by reassessment for surgery. Would appreciate guidance on: 1. Whether chemo + surgery appears the optimal curative-intent approach in this case. 2. Whether adding immunotherapy to neoadjuvant chemotherapy would significantly improve outcomes. 3. Whether current imaging/EBUS findings sufficiently support N1 staging or need further nodal evaluation. Thank you.
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1. Yes, if performance status as per age and fitnesss is good. Another option can be SBRT to lung. 2. Yes adding immunotherapy would be good strategy 3. Nodal evaluation is adequate
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.