Situation

You are referred a 75 year old with poor PFTs and proven 3cm by 3.5cm non small cell carcinoma, but the tumour is only removable via a lobectomy and they are not fit enough. What do you do ?

Opinion

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Opinion

Refer for radiotherapy, if PFTs very poor nothing as radiotherapy damages lungs.