Situation

A patient with a 1.5cm nodule in right lower lobe undergoes percutaneous biopsy and cytology reveals an oat cell. what would you do ?

Opinion

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Opinion

If the patient is fit.

Bone scan and CT head

Mediasteinoscopy despite normal size lymph nodes on CT scan

If the above are all clear then right lower lobectomy

Post operative chemotherapy