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Have an old patient 86 yo man 40 pack year smoker quit 30 years ago who is diagnosed with IPF with a FEV1 of 1 and DLCO 30% who has a IIIA NSCLC type pending but TTF-1 negative based on an fna so favoring SCC. He has a 3 cm LUL primary with a 4 cm left hilar lesion and a 3cm subcarinal lesion. He is on 2 to 3 L of O2 with light exertion which was started in the last 6 months. His ECOG is 2
What is the appropriate considerations here? Obviously he is quite old, bad lungs, and on O2. I also recall from somewhere that IPF patients do really poorly with RT and you that the risk of tipping them into respiratory failure is quite high but im not finding studies on this right now. Patient and family interested in being aggressive
What is the appropriate considerations here? Obviously he is quite old, bad lungs, and on O2. I also recall from somewhere that IPF patients do really poorly with RT and you that the risk of tipping them into respiratory failure is quite high but im not finding studies on this right now. Patient and family interested in being aggressive
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