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Interesting case, details blurred to protect the innocent.
Lung tumor 2 cm, patient is on 3 L O2 but only at night.
Surgeon recommends PFTs and that he see the patient for surgery, "maybe can't tolerate a lobectomy but sub-lobar resection might be a possibility."
I advised the patient not get surgery due to already being on oxygen, and sublobar resection less definite. Survival for operable patients just as good based on Rosell-STARS trial.
Debate ensues
Lung tumor 2 cm, patient is on 3 L O2 but only at night.
Surgeon recommends PFTs and that he see the patient for surgery, "maybe can't tolerate a lobectomy but sub-lobar resection might be a possibility."
I advised the patient not get surgery due to already being on oxygen, and sublobar resection less definite. Survival for operable patients just as good based on Rosell-STARS trial.
Debate ensues