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Operable stage I NSCLC — SCE Respiratory MCQ

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EasyLung CancerOperable stage I NSCLCSCE Respiratory

A 69-year-old woman has a 1.8 cm peripheral lung adenocarcinoma with negative PET-CT mediastinum and no metastases. FEV1 and TLCO are both above 80% predicted and she is functionally fit. What is the most appropriate management?

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Correct answer: E — Surgical resection with curative intent

Fit patients with stage I operable NSCLC should be offered surgical resection with curative intent after staging and MDT assessment. Palliative chemotherapy alone would under-treat potentially curable disease. Pleurodesis is irrelevant without recurrent pleural effusion.

Reference: NICE NG122 Lung Cancer