Adenocarcinoma of the lung

Case contributed by Dr Hani Salam

Presentation

Smoker with weight loss.

Patient Data

Age: 60 years
Gender: Male
X-ray

Chest radiographs

Frontal chest radiograph demonstrates left perihilar opacity. The opacity is seen on the lateral radiograph overlying the spine, further localising it to the superior segment of the left lower lobe (LLL).

CT

CT Chest

A large mass is seen in the superior segment of the left lower lobe. The mass demonstrates heterogeneous enhancement with probable central necrosis. Small mediastinal lymph nodes are seen as well. There is a background of moderate centrilobular and paraseptal emphysema.

Case Discussion

An opacity on a chest radiograph in a smoker should prompt further assessment and evaluation as those patients are at higher risk of lung malignancy.

Pathology: Adenocarcinoma, micropapillary predominant.

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Case information

rID: 42446
Published: 17th Apr 2018
Last edited: 12th Jul 2018
System: Chest
Inclusion in quiz mode: Included

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