Would you offer curative intent therapy to a patient with a new diagnosis of breast cancer with multiple small lung nodules (<1cm not amenable to biopsy) as the only possible site of metastatic disease?  

I will typically give the benefit of the doubt to the patient in planning treatment for a potentially curative treatment. Finding small lung nodules on CT scans can be related to benign, granulomatous, or an old infection and not necessarily due to malignancy. It is important to understand the conte...

This is not an uncommon situation. We only check staging scans in patients who have suspicious symptoms or findings on the physical exam and those whose cancer is at high risk for metastases. So, if the CT shows multiple lung nodules that are "too small to biopsy", i.e., not amenable to CT-guided bi...