This lady had a 2cm left lower lobe tumour found incidentally on imaging. She is an ex-smoker. Staging CT-PET suggests stage 1 NSCLC. We performed a video-assisted thoracoscopic (VATS) wedge resection of the tumour, intra-operative frozen section examination of the tumour to confirm malignancy, and then proceeded to a completion lobectomy and mediastinal lymph node clearance. A three port approach was performed using a 5mm 30 degree scope. She made a good recovery and was discharged 3 days later. Pathology reported : primary adenocarcinoma of lung, acinar predominant, 18mm. No nodes involved. pT1bN0M0.
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