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Pancoast’s tumor of chest, Stage IV NSCLC (non-small cell lung cancer)

USU Teaching File MUTF - MedPix (2013)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Pancoast’s tumor of chest, Stage IV NSCLC (non-small cell lung cancer)

History: 67 y/o male presents for further evaluation of an abnormal chest radiograph, discovered during a recent episode of both hepatic and left kidney abscesses.

Findings: • CXR: Large destructive left apical mass involving the chest wall. There is vertebral destruction, pleural metastasis, lymphadenopathy, and a contralateral lung nodules. • CT: 1) Large left upper lobe mass with adjacent chest wall invasion with bony destruction and vertebral body destruction. Multiple left lingular segment masses 2) Right upper lobe mass with adjacent air space disease 3) Mediastinal and left hilar adenopathy 4) Right liver lobe ductal dilatation 5) Right adrenal mass enlargement 6) Left kidney mass • PET: 1) Malignant neoplasm extensively involving the apical posterior segment of the left upper lobe and extending locally into the mediastinum and the chest wall. No discontinuous foci within the mediastinum or cervical region specifically to suggest metastatic disease to the lymph nodes. Several satellite nodules in the left mid lung field and possible nodular metastases to left mid ribs.

Ddx: • Metastatic Lung Cancer • Metastatic Kidney Cancer • Metastatic Liver cancer

Dxhow: Surgery and Histology

Exam: Left apical chest tenderness, Dsypnea, and a chronic cough. Transbronchial Biopsy: Non-Small Cell Carcinoma

No MeSH data available.


CXR:  Large destructive left apical mass involving the chest wall.  There is vertebral destruction, pleural metastasis, lymphadenopathy, and a contralateral lung nodules.
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MPX1219_synpic58598: CXR: Large destructive left apical mass involving the chest wall. There is vertebral destruction, pleural metastasis, lymphadenopathy, and a contralateral lung nodules.


Pancoast’s tumor of chest, Stage IV NSCLC (non-small cell lung cancer)

USU Teaching File MUTF - MedPix (2013)

CXR:  Large destructive left apical mass involving the chest wall.  There is vertebral destruction, pleural metastasis, lymphadenopathy, and a contralateral lung nodules.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1219&req=5

MPX1219_synpic58598: CXR: Large destructive left apical mass involving the chest wall. There is vertebral destruction, pleural metastasis, lymphadenopathy, and a contralateral lung nodules.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Pancoast’s tumor of chest, Stage IV NSCLC (non-small cell lung cancer)

History: 67 y/o male presents for further evaluation of an abnormal chest radiograph, discovered during a recent episode of both hepatic and left kidney abscesses.

Findings: • CXR: Large destructive left apical mass involving the chest wall. There is vertebral destruction, pleural metastasis, lymphadenopathy, and a contralateral lung nodules. • CT: 1) Large left upper lobe mass with adjacent chest wall invasion with bony destruction and vertebral body destruction. Multiple left lingular segment masses 2) Right upper lobe mass with adjacent air space disease 3) Mediastinal and left hilar adenopathy 4) Right liver lobe ductal dilatation 5) Right adrenal mass enlargement 6) Left kidney mass • PET: 1) Malignant neoplasm extensively involving the apical posterior segment of the left upper lobe and extending locally into the mediastinum and the chest wall. No discontinuous foci within the mediastinum or cervical region specifically to suggest metastatic disease to the lymph nodes. Several satellite nodules in the left mid lung field and possible nodular metastases to left mid ribs.

Ddx: • Metastatic Lung Cancer • Metastatic Kidney Cancer • Metastatic Liver cancer

Dxhow: Surgery and Histology

Exam: Left apical chest tenderness, Dsypnea, and a chronic cough. Transbronchial Biopsy: Non-Small Cell Carcinoma

No MeSH data available.