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MCQ – 89149

Question

In patients with non-small cell lung cancer, all the following are contraindications to potentially curative resection, except
A. Superior vena cava syndrome
B.

Malignant pleural effusion

C.

Involvement of the main pulmonary artery

D.

Ipsilateral mediastinal node metastases

Show Answer

Correct Answer � D

Explanation

Ans. D. Ipsilateral mediastinal node metastases

Ipsilateral mediastinal node metastases are not a contraindication to curative resection.

In patients with NSCLC, the following are contraindications to potentially curative resection:

  • Extra-thoracic metastases

  • Superior vena cava syndrome

  • Vocal cord involvement

  • Phrenic nerve paralysis

  • Malignant pleural effusion

  • Cardiac tamponade

  • Tumor within 2 cm of the carina

  • Metastasis to the contralateral lung

  • Metastases to supraclavicular lymph nodes

  • Contralateral mediastinal node metastases

  • Involvement of the main pulmonary artery

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