A 60-year-old man, smoker of 40 packs/year, who consults for pain in the ulnar border of the left arm and left palpebral ptosis since one month ago. Chest X-ray shows a mass in the left upper lobe and CT scan confirms the lesion with invasion of the second rib. In relation to the suspected diagnosis, the most appropriate treatment is:
Typical smoker's pancoast, probably an epidermoid, with Horner's sdr. Best would be chemoradio followed by surgical salvage. In the old days it was just RT and surgery. Maybe not far off enter immunotherapy in first line. There are more and more new things.
Neoadjuvant chemotherapy with combined chemoradiotherapy, followed by surgery.
Neoadjuvant chemotherapy without surgery, followed by radiotherapy.
Surgery followed by combined chemoradiotherapy.
Radiotherapy without chemotherapy, followed by surgery.
Typical smoker's pancoast, probably an epidermoid, with Horner's sdr. Best would be chemoradio followed by surgical salvage.
In the old days it was just RT and surgery.