T2a lung cancer

Case contributed by Dr Ian Bickle


Smoker with weight loss and cough. CT biopsy proven lung malignancy.

Patient Data

Age: 66
Gender: Male

Spiculated 4cm left upper lobe mass.

Right lung clear.  Heart size normal.


4cm left apical spiculated mass with minor tethering to the pleural surface and the oblique fissure.

No cavitation.

Right lung clear.

No significant mediastinal lymphadenopathy.


Gross specimen from left upper lobectomy.

The tumor (white) is well delineated from the surrounding normal lung.

Case Discussion

An example of a T2a lung cancer with surgical correlate.

Classical spiculated lesion, which is nearly always cancer.

Final histology:   Adenocarcinoma of the lung

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Case information

rID: 52556
Published: 17th Apr 2017
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included