Was doing a MKSAP IM board review question:
72-yo F, with every risk factor in the world, 9-mm solid pulmonary nodule in the Left upper lobe, said nodule is very PET avid (no evidence of any other distant uptake, no distant mets). What do you do next?
Correct answer was Surgical Wedge Resection (I chose the second best answer: bronchoscopy with biopsy).
Their argument for a surgical wedge resection was that the nodule is highly suspicious for cancer, to go ahead and take it out. But...
Bronchoscopy with biopsy vs. Surgical Wedge resection
72-yo F, with every risk factor in the world, 9-mm solid pulmonary nodule in the Left upper lobe, said nodule is very PET avid (no evidence of any other distant uptake, no distant mets). What do you do next?
Correct answer was Surgical Wedge Resection (I chose the second best answer: bronchoscopy with biopsy).
Their argument for a surgical wedge resection was that the nodule is highly suspicious for cancer, to go ahead and take it out. But...
Bronchoscopy with biopsy vs. Surgical Wedge resection