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Showing results for tags 'best practices'.
Hello, A CT scan revealed a 5cm mass and 9mm lymph node in my mom's right middle lobe. My mom had triple negative breast cancer 13 years ago. The thoracic surgeon has recommended removal of middle lobe with no biopsy. His rational is: PET scan is informative but not 100%, esp as to lymph node involvement, if it turns out to be an infection then you'll have had a potentially unnecessary surgery but if it is cancer then you'll be glad you didn't waste any time. He thinks it unlikely it is breast cancer mets. Does this sound like reasonable approach? With lung cancer, is it best practice to remove as much of the lung as possible (as it is often with breast cancer) or usually just a lobe? He is suggesting that he biopsy the central lymphs as first step of surgery. Then it is unclear what he will do as I didn't quite understand him. It sounded to me that if they are negative for involvement he would proceed with surgery but if they are positive then he would stop the surgery and we would go to a med onc to discuss radiation/chemo. So, in addition to all of the above, I am wondering if best practices/research dictate that she should have surgery after central lymph involvement of not. It is so hard to even research this as we don't even know what we are dealing with as he is arguing for surgery first. Thank you for any thoughts on this.