Presentation
Smoker. Hemoptysis - two episodes.
Patient Data
There is a right midzone mass and a peripheral left mid zone cavitating lesion. Normal cardiomediastinal contour.
In the left upper lobe, there is a thick-walled cavitating lesion with surrounding ground glass opacity.
Posteriorly in the superior segment of the right lower lobe is mass with spiculated margins. Minor internal cavitation.
Case Discussion
This is a case of synchronous lung cancers. The patient underwent sequential resection with the results being adenocarcinoma for one tumor, and squamous cell carcinoma for the other. Unfortunately, the histology reports are not available and it is not known which histology belongs to which tumor.