Presentation
Cough and chest pain
Patient Data
Age: 45 years
Gender: Female
From the case:
Bronchogenic carcinoma
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Info
Left upper lung zone mass.
Central trachea. No volume loss. No pleural effusion. No rib pathology.
From the case:
Bronchogenic carcinoma
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Info
Large left upper lobe heterogeneously enhancing mass abutting the apical and mediastinal pleura, with lobulated and spiculated borders.
Multiple mediastinal and bilateral supraclavicular small lymph nodes.
Multiple vertebral lytic lesions.
Lumbar vertebral involvement (not shown).
Case Discussion
The features are highly suggestive of bronchogenic carcinoma with metastatic bone disease.
TNM stage is T4N3M1c, as detailed below:
Mass greatest dimension approximately 12 cm: T4
Mediastinal and supraclavicular lymph nodes: N3
Multiple bone lytic lesions: M1c
The patient was referred to an oncology centre.
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