If a patient is suspected of having N0/N1 disease but intraoperatively is found to be having N2 disease, the so called incidental N2 disease; then which of the following will be the best course of treatment :

If a patient is suspected of having N0/N1 disease but intraoperatively is found to be having N2 disease, the so called incidental N2 disease; then which of the following will be the best course of treatment :

Q. If a patient is suspected of having N0/N1 disease but intraoperatively is found to be having N2 disease, the so called incidental N2 disease; then which of the following will be the best course of treatment :

A.            Abandon the procedure and threat with chemoradiation

B.            Complete the procedure and treat with adjuvant chemotherapy

C.            Using interoperative radiotherapy (IORT) and completing the resection

D.            Doing a thorough mediastinal node clearance and treating with adjuvant chemoradiation

Answer: Abandon the procedure and threat with chemoradiation

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