Small cell lung cancer with tracheal compression

Case contributed by Dr Derek Smith

Presentation

Presentation to A+E with stridor. History of persistent cough (not responding to antibiotics) and 2 stone weight loss over three months. Also dysphonia and dysphagia to solids (one month). Current smoker. Large fixed level IV mass on left. On nasal endoscopy, fixed left cord and blood at piriform fossa. Normal CXR five months previously.

Patient Data

Age: 70
Gender: Male

Bulky left hilum with left mid- and lower-airspace opacification.

Fullness in the superior mediastinum with significant tracheal deviation to the right.

Malignant 13cm mediastinal mass causing airway deviation and compression around the carina.  Bulky mediastinal and left supraclavicular involvement.  Liver and left adrenal metastases present.

Case Discussion

Pathology of the neck lump was consistent with metastatic small cell carcinoma of the lung.

This gentleman was referred to oncology and unfortunately died three days after presentation.

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Case information

rID: 32578
Case created: 3rd Dec 2014
Last edited: 28th Aug 2015
System: Chest
Inclusion in quiz mode: Included

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