Is a bilobectomy necessary for lung cancer in a 45-year-old?

Question

Hello doctor,

I am a 45-year-old female and weigh approximately 141 pounds. I was recently diagnosed with lung cancer, and my surgeon has suggested a bilobectomy.

I have a persistent cough, mild chest pain, and significant anxiety about the surgery. My doctor explained that removing two lobes of the lung may be necessary depending on the size and location of the tumor.

Is a bilobectomy always required for lung cancer at age 45?
Can a smaller surgery sometimes be performed instead?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query.

I understand and appreciate the fear, anxiety, and uncertainty you are feeling after being diagnosed with lung cancer.

I also want to tell you that there are many treatment options available nowadays, and it seems that you may be at an early stage, which is why surgery has been suggested for you. However, I would also advise you to seek the opinion of an oncologist regarding radiotherapy.

There are other treatment options, such as stereotactic radiotherapy, also known as stereotactic radiosurgery, which can be delivered using technologies such as IMRT (intensity-modulated radiation therapy).

I believe these options are highly accurate, have lower morbidity, and are associated with very minimal side effects. They can also provide excellent control of the primary tumor and, in some cases, may be an alternative to surgery.

Surgery can be associated with more challenging postoperative complications and the difficulty of returning to normal breathing afterward. In contrast, radiotherapy is very precise and targeted, treating the tumor while sparing the surrounding normal tissues. This can make it a preferable option for some patients compared with undergoing major surgery.

However, the final decision depends on the size, location, stage of the tumor, and your overall health. You have every right to discuss all available options with your treating team and choose the approach that feels right for you.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.