Advanced Squamous Cell Lung in Medicine / Internal Medicine — 60yo Man | Respiratory / Pulmonology | SMLE Q#11044
SMLE Question #11044
Medicine / Internal Medicine
Respiratory / Pulmonology
Objective: OBJ-123
Last updated: February 2026
A 60-year-old man with advanced squamous cell lung cancer has 1 week of worsening dyspnea and dry cough. Over the past 3 months, he has required repeated large-volume right-sided therapeutic thoracenteses with only temporary relief. After each procedure, his lung re-expands on imaging and symptoms improve. He is not a candidate for curative therapy and prefers a single durable palliative intervention to reduce future procedures. Chest examination is consistent with a large right pleural effusion. What is the most appropriate next step in management?
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