Lung cancer (massive)

Case contributed by Dr Ian Bickle

Presentation

Left side chest pain. worse lying down and on side. Reduced appetite and weight loss.

Patient Data

Age: 65 years
X-ray

Huge left upper lobe mass with destruction of the left third rib.

Heart size normal.  Right lung clear.

CT

12cm left upper lobe mass encasing and compressing segmental branch of left apico-posterior bronchus and pulmonary artery, with invasion of visceral and parietal pleura,mediastinal fat. 3rd left rib destruction. 

Two 4mm satellite nodules in left upper lobe.

Enlarged left para aortic/AP window nodes.No supraclavicular lymphadenopathy.

CT

Prone position.

Biopsy undertaken of the left upper lobe mass.

Case Discussion

As far as lung cancers come this is a big one at presentation.

Histology:  non small cell lung malignancy

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Case information

rID: 82535
Published: 4th Nov 2020
Last edited: 4th Nov 2020
System: Chest
Inclusion in quiz mode: Included

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