A 62-year-old man with a long history of smoking has a chronic, productive cough. A chest CT…

A 62-year-old man with a long history of smoking has a
chronic, productive cough. A chest CT obtained because of a recent episode of
hemoptysis reveals a lung mass in the right upper lobe. Results of
transbronchial biopsy suggest the presence of large cell carcinoma. There is no
evidence of metastasis. As part of the patient’s evaluation for surgery, he has
the following spirometry and diffusing capacity results: Forced vital capacity
(FVC) 4.2 L (80% of predicted value)

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FEV1 1.6 L (60% of predicted value)

FEV1/FVC 0.4

DLCO 15.5 (60% of predicted)

Can he undergo surgery

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