Translate case to... Carcinoma of right upper lobe - Thoracic Imaging

Title: Thoracic Imaging - Carcinoma of right upper lobe
Diagnosis: Carcinoma of right upper lobe
Author: Martins Martina
Comment: Howarth Nigel
Hospital: HUG
Department: Département de Radiologie
State: Terminée
Date: 21.03.2003
: 3365
KeyWords: Pulmonary mass; Chest CT
Anatomy: Thorax
Chapter: Tumour
ACR: 61.322

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Clinical Presentation: Patient with smoking habit and weightloss.
Comment: The diagnosis of epidermoid carcinoma was based on atransbronchial
biopsy. There are several types of bronchogeniccarcinomas: - Squamous cell pulmonary
carcinoma: the most frequent(40%). This tumour can be distal but is more often proximal,
withendobronchial budding. It is often necrotic. - Adenocarcinoma(20%): can be proximal
but is more often distal, sometimesdeveloping on a scar. - Small-cell carcinoma (20%):
generallyproximal, fast growing, with rapid extension to the mediastinallymph nodes and
further metastasis. - Large-cell carcinoma (15%). -Bronchioalveolar carcinoma (5%):
peripheral tumour which developson terminal bronchioli or alveoli.
Description: The frontal and lateral chest X-rays show a mass inthe posterior
segment of the right upper lobe, as well as a righthilar enlargement and obliteration of the
right paratrachealstripe. On the chest CT, the contours of the mass are lobulated,with
heterogeneous enhancement. Enlarged mediastinal and hilarlymph nodes are present.


Order: 0
Dislocation: 0
Polytrauma: 0
Open: 0
Pathologic: 0
Operation: 00.00.00
Graft: 0

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References: McCloud TC. Imaging techniques for diagnosis andstaging of lung
cancer. Clin Chest Med 2002; 23: 123-136 Travis WD.Pathology of lung cancer. Clin
Chest Med 2002; 23: 65-82 HenschkeCI, Yankelevitz DF, Libby D, McCauley D,
Pasmantier M, Smith JP.Computed tomography screening for lung cancer. Clin Chest Med
2002;23: 49-57.