Left upper lobe squamous cell carcinoma

Case contributed by Dr Derek Smith

Presentation

Productive cough for six months. Smoker. Normal CXR one year ago.

Patient Data

Age: 65
Gender: Female

Left upper zone opacity. Otherwise lungs clear. Normal heart size and mediastinal contours.

2.5 cm left upper lobe mass, with central cavitation.

No other pulmonary finding or mediastinal nodal enlargement.

Unremarkable upper abdomen and skeleton.

Nuclear medicine

FDG avid left upper lobe mass with central photopenia concerning for central necrosis/cavitation.

No nodal or metastatic disease.

Case Discussion

This was a subtle chest x-ray finding, but much clearer on other modalities.

The patient underwent lobectomy and nodal resection which demonstrated poorly differentiated squamous cell carcinoma, with involvement of mediastinal nodes, staging the cancer as T2aN2M0.

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Case information

rID: 52248
Case created: 29th Mar 2017
Last edited: 29th Mar 2017
System: Chest
Inclusion in quiz mode: Included

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