I wanted to start a new video series that will provide illustrative cases from my clinic that introduce broader teaching points. This first video covers the decision-making process that led me to recommend post-operative (adjuvant) chemotherapy for a patient who had a 3.5 cm lung adenocarcinoma resected, and who had no lymph node involvement. We typically recommend chemo only for larger node-negative lung cancers, but her particular cancer had some other features that made me concerned enough about her risk of recurrence to favor at least a good consideration of chemotherapy. Here’s my discussion of some of the variables that are relevant in this setting.
As always, I’d welcome your thoughts, questions, objections, etc., as well as any feedback you want to offer about the format of using clinical cases to review broader concepts. And any ideas for topics are also welcome.