試題詳解

38. A 65 y/o male non-smoker presented with ataxia for 1 week. He denied any systemic disease. Contrast-enhanced MRI of brain showed one 1 cm tumor with edema at right cerebellum, but without any other intracranial lesion. Chest CT disclosed one 3 cm tumor at RUL, but without mediastinal lymphadenopathy. The pathology of biopsy of the RUL tumor without any other metabolic-active lesion. The lung function test is within normal limit. Which is the most appropriate treatment for this patient?
(A) This is stage IV disease. If EGFR mutation is positive, EGFR TKI is the choice of treatment
(B) Because he has symptomatic brain metastasis, whole brain radiotherapy is the choice of treatment
(C) Curative intent of treatment with sequential surgical resection of cerebellar tumor and RUL lobectomy plus mediastinal lymph node dissection is the choice of treatment
(D) Platinum based doublet chemotherapy is the choice of treatment