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A 56-year-old woman with a history of smoking began to have a cough that was productive of blood-tinged sputum. Radiography and computed tomographic scanning revealed a 2.5-cm nodule in the right upper lobe, with no mediastinal lymphadenopathy. Positron-emission tomographic scanning with fludeoxyglucose F 18 showed uptake in the nodule but not in the lymph nodes. A biopsy disclosed non–small-cell lung cancer. A multidisciplinary team discusses the approach to therapy.
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Lynch et al. (2004) studied this question.
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