Lung cancer
Updates to Case Attributes
Endobronchial biopsy confirmed-confirmed primary lung adenocarcinoma and he went on to systemic chemotherapy.
Based on imaging, the patient would be staged T4N3M1acT4N3M1a (Stage IVA). Based on this study, the M1a classification was based on the presence of the presumed malignant pericardial and pleural effusions).
-<p>Endobronchial biopsy confirmed primary lung adenocarcinoma and he went on to systemic chemotherapy.</p><p>Based on imaging, the patient would be staged T4N3M1a (Stage IVA). Based on this study, the M1a classification was based on the presence of the presumed malignant pericardial and pleural effusions). </p>- +<p>Endobronchial biopsy-confirmed primary lung adenocarcinoma and he went on to systemic chemotherapy.</p><p>Based on imaging, the patient would be staged cT4N3M1a (Stage IVA). Based on this study, the M1a classification was based on the presence of the presumed malignant pericardial and pleural effusions). </p>
References changed:
- Ramon Rami-Porta. IASLC Staging Handbook in Thoracic Oncology. (2016) ISBN: 9780983295860 - <a href="http://books.google.com/books?vid=ISBN9780983295860">Google Books</a>
- Rami-Porta, R., 2016. Staging Handbook in Thoracic Oncology. 2nd ed. North Fort Myers: Editorial Rx Press
- Rami-Porta, R., 2016. Staging Handbook in Thoracic Oncology. 2nd ed. North Fort Myers: Editorial Rx Press
Updates to Study Attributes
The abnormality on the chest x-ray corresponds to a large, heterogenousheterogeneous mass lesion in the lingula segments of the left upper lobe. There is an abrupt cutoff of the lingula segmental bronchus consistent with endobronchial extension. Ground glass consolidation adjacent to the mass may relate to tumour infiltration or post obstructive change.
The mass has broad pleural abutment against the chest wall, oblique fissure and pericardium. There are pushing margins against oblique fissure, with interlobular septal thickening and ground glass in the adjacent left lower lobe consistent with local invasion across the visceral pleura. Loss of the fat plain in the left 5th intercostal space concerningsuspicious for chest wall invasion.
Contiguous heterogenousheterogeneous soft tissue invading into the left superior pulmonary vein and into the rightleft atrium (tumour thrombus). Additional focal thrombus in the right superior pulmonary vein.
Bulky lymphadenopathy in the ipsilateral and contralateral hila and mediastinum.
Pericardial effusion. Small left pleural effusion.
No adrenal masses. Subcentimetre hypodensities in the liver are non-specific and too small to characterise.