A 60 year old male was diagnosed as carcinoma right lung. On CECT chest there was tumour of 5 x 5 cm in upper lobe and another 2 x 2 cm size tumour nodule in middle lobe. The primary modality of treatment is
**Core Concept**
The primary modality of treatment for a patient with stage I non-small cell lung cancer (NSCLC) typically involves surgical resection, which aims to remove the tumor while preserving lung function. The decision to proceed with surgical resection depends on various factors, including the tumor size, location, and the patient's overall health.
**Why the Correct Answer is Right**
The correct answer is surgical resection, which is the primary modality of treatment for early-stage NSCLC. This approach is often preferred in patients with stage I disease, where the tumor is localized and can be completely resected. Surgical resection can be performed using various techniques, including lobectomy, segmentectomy, or pneumonectomy, depending on the tumor's location and size. The goal of surgical resection is to remove the tumor while preserving as much lung function as possible.
**Why Each Wrong Option is Incorrect**
**Option A:** Radiation therapy is often used as an adjunctive treatment for NSCLC, but it is not typically the primary modality of treatment for stage I disease. Radiation therapy may be used in combination with surgery or as a palliative measure for patients with advanced disease.
**Option B:** Chemotherapy is a systemic treatment that is often used to treat NSCLC, particularly in patients with advanced disease or those who are not candidates for surgery. However, chemotherapy is not the primary modality of treatment for stage I NSCLC.
**Option C:** Stereotactic body radiation therapy (SBRT) is a type of radiation therapy that uses high doses of radiation to treat small tumors. While SBRT can be an effective treatment option for stage I NSCLC, it is not the primary modality of treatment.
**Clinical Pearl / High-Yield Fact**
The National Comprehensive Cancer Network (NCCN) guidelines recommend surgical resection as the primary modality of treatment for stage I NSCLC. The decision to proceed with surgical resection should be individualized based on the patient's overall health and the tumor's characteristics.
**Correct Answer:** B. Chemotherapy is a systemic treatment that is often used to treat NSCLC, particularly in patients with advanced disease or those who are not candidates for surgery.