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Lung: Radical RT/SABR for early NSCLC

Published 20 July 2026 · a new question every day · browse the archive

RespiratoryRadical RT/SABR for early NSCLC

A 78-year-old man with severe COPD (FEV1 38% predicted) is found to have a 2.4 cm peripheral right upper lobe nodule. Biopsy confirms adenocarcinoma. FDG-PET-CT shows no nodal or distant uptake, staged T1cN0M0. The respiratory MDT and cardiothoracic surgeons agree he is medically inoperable. He has WHO performance status 1. What is the most appropriate radical treatment?

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