Right apical lung tumour

Case contributed by A.Prof Frank Gaillard




Case Discussion

 Large cell bronchogenic carcinoma.


High-grade large-cell undifferentiated carcinoma located in the apical segment and measuring 2.5 cm in maximum dimension showing radiation/chemotherapy effect. Tumour extends into the overlying chest wall. The tumour is almost entirely necrotic with only small islands of viable tumour cells remaining, (approximately 10% of the tumour appears viable).

Surrounding lung parenchyma shows changes consistent with chemotherapy and radiation, namely interstitial fibrosis, intimal fibrosis and inflammation of the interstitium.

Prominent centrilobular emphpysema is present with subpleural blebs and bullae.

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Case information

rID: 8570
Published: 13th Feb 2010
Last edited: 16th Jul 2018
System: Chest
Tag: lung
Inclusion in quiz mode: Included

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