Raffaele J. Marchigiani, M.D., presents a surgical case where he performs a video assisted thoracic surgery on a 83 year-old male. This patient had a prior skin cancer on his scalp, and then a reoccurrence as a lump on his neck and a nodule on his lung. Dr. Marchigiani walks us through the case and why this conservative approach was needed for the patient to then proceed with definitive treatment for his head and neck cancer.