<s>[INST] Respected Doctor My father age is 69. His Left Lower Lobectomy Lung with Mediastinal Lymphadenectomy done under general anaesthesia on 10.10.2014. His HPE Report is given below: A) Left Lower lobectomy + B) Mediastinal nodes - Adenosquamous carcinoma; 10.5 cm; grade 2; pT3N2M not applicable; Margins uninvolved by tumor; closest bronchial cut margin 0.5 cm; lymphovascular invasion presenr; lymphnode metastasis present (2/10). Please inform me that is he need Chemotherapy ? Waiting for your reply. [/INST] Hi, dearI have gone through your question. I can understand your concern.Your father's report indicate that he has adenosquamous carcinoma. it is a type of lung cancer. It also spread to the mediastinal lymphnodes. His two lymphnodes get the cancer spread. so he needs chemotherapy also. Consult your doctor start chemotherapy accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. </s>