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Man 66yo diabetic, former smoking patient. Chest X-ray is nothing abnormal detected.
CT total body non CE detected one SPN which has size of 9.4 cm at the left lung ( cT1, CT3). CTCE with dynamic scan showed CE risk from 14 HU to 74 HU.
Blood tests = CYFRA 21-9,09 and WAKO TEST AFP=3.9; AFP L3=19.3; DCP =25) another cancer markers are normal.
What is your suggestion for diagnostic and therapy?