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Chest computed tomography showed a 7.7\u2009\u00d7\u20095.3\u2009cm mass located in the left lower lobe and multiple swollen lymph nodes. 18<jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>\u2010fluorodeoxyglucose\u2010positron emission tomography indicated high standard uptake values in the mass and swollen lymph nodes. The patient was diagnosed with stage <jats:styled-content style=\"fixed-case\">cT3N2M0\u2010IIIA<\/jats:styled-content> squamous cell carcinoma. Although the patient had multiple lymph node metastases and severe obstructive pulmonary function, four cycles of platinum doublet chemotherapy were initially performed and no side effect greater than grade 3 was experienced. As the lung cancer was downstaged to <jats:styled-content style=\"fixed-case\">ycT2aN0M0\u2010IB<\/jats:styled-content> and pulmonary function had improved, a bronchodilating preparation, an uneventful left lower lobectomy, and a lymphadenectomy were performed. 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