63 yo female ex smoker with moderately severe COPD. Incidentally found to have a 13mm FDG-avid pulmonary nodule in the right lower lobe of her lung. Attempted CT-guided percutaneous needle biopsy non-diagnostic. FEV1 1.38L (49% predicted). We performed a robotic assisted sublobar lung resection given her limited lung reserve.
She did well and was discharged home on day 4 postoperatively.
Final histopath revealed a promary adenocarcinoma of the lung measuring 23x13x16mm, with clear resection margins. pT1cN0M0.
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