Left upper lobe adenocarcinoma

Case contributed by Dr Derek Smith

Presentation

Left sided chest pain with shortness of breath (anginal episode). CXR to exclude other thoracic causes of presentation. Non-smoker.

Patient Data

Age: 60 years
Gender: Male
X-ray

1.5 cm density projected between the aortic arch and head of left first rib.

The lungs are otherwise clear, with normal mediastinal contour and vascularity.

CT

2.5 cm left upper lobe tumor (consistent with CXR findings), contiguous with the mediastinum but not frankly invading. Otherwise normal lungs with no other significant nodules, nor hilar/mediastinal nodal enlargement. No effusion. Simple left renal cyst, otherwise normal included upper abdomen and skeleton.

Nuclear medicine

Moderate uptake in left upper lobe tumor.

No nodal or distant non-physiological uptake.

Case Discussion

This tumor was staged as T2N0M0 and, after optimization of cardiovascular issues, was resected. Pathology confirmed adenocarcinoma.

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Case information

rID: 61175
Published: 1st May 2020
Last edited: 14th May 2020
System: Chest
Inclusion in quiz mode: Included