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Suggest Treatment For Stage 1 Lung Cancer

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Posted on Thu, 4 Jun 2015
Question: I was diagnosed with lung cancer it read Chest/Mediastinum: there is a 1.6 x 1.3 cm lobulated right upper lobe posterior segment nodule with mild uptake XXXXXXX SUV 2.4 Left lung base calcified granuloma. Centrilobular emphysema. No mediastinal/hilar adenopathy. aberrant right subclavian artery coursing posterior to esophagus. stage 1A given 3 options: surgery remove half lung dangerous do to my health history, wedge take out the mass only may re-occur and radiation?
doctor
Answered by Dr. Indu Kumar (1 hour later)
Brief Answer:
Most likely,wedge resection is appropriate for you.

Detailed Answer:
Hello

Sorry to know about your illness.
As malignancy is confirmed,you need definitive treatment.Treatment for stage 1 lung carcinoma is surgery and radiotherapy.
Most likely,wedge resection of tumour is appropriate for you.
Extensive surgery like lobectomy may increase complications and it is not preferred in patient with compromised lung status.It depend upon patient's clinical status.
Only radiotherapy treatment is advised in those patient who have serious medical complications and not fit for surgery.

You may need adjuvant radiotherapy later on due to possible local metastasis or due to left out tumour margin.

Other findings like calcified granuloma,centrilobular emphysema are benign.
Aberrant right subclavian artery is a benign finding.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6729 Questions

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Suggest Treatment For Stage 1 Lung Cancer

Brief Answer: Most likely,wedge resection is appropriate for you. Detailed Answer: Hello Sorry to know about your illness. As malignancy is confirmed,you need definitive treatment.Treatment for stage 1 lung carcinoma is surgery and radiotherapy. Most likely,wedge resection of tumour is appropriate for you. Extensive surgery like lobectomy may increase complications and it is not preferred in patient with compromised lung status.It depend upon patient's clinical status. Only radiotherapy treatment is advised in those patient who have serious medical complications and not fit for surgery. You may need adjuvant radiotherapy later on due to possible local metastasis or due to left out tumour margin. Other findings like calcified granuloma,centrilobular emphysema are benign. Aberrant right subclavian artery is a benign finding. Get well soon. Hope I have answered your question. Further queries are most welcome. Take Care Dr.Indu XXXXXXX