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Lung cancer spread to lymph nodes

why would a doctor not elect to do surgery on lung cancer tumor that has spread to lymph nodes? The doc is wanting to do chemotherapy first.
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3191940 tn?1447268717
Each case (and type of lung cancer) is different, so I can't say for certain why in this specific case, but there are times when the tumor has metastasized to the point where it cannot be excised without high risk of a fatal outcome.  In many cases, chemotherapy and/or radiation is used to attempt to achieve remission, or shrink the primary tumor to a point where it can be safely excised.

You would really need to discuss the reasoning with an oncologist, and perhaps seek a second opinion if you're not comfortable with the recommendation.
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