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Case Records of the Massachusetts General Hospital
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Volume 351:809-817 August 19, 2004 Number 8
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Case 26-2004 — A 56-Year-Old Woman with Cough and a Lung Nodule
Thomas J. Lynch, M.D., Cameron D. Wright, M.D., Noah C. Choi, M.D., Suzanne L. Aquino, M.D., and Eugene J. Mark, M.D.

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Presentation of Case

Dr. Jennifer Temel (Medical Oncology): A 56-year-old woman was evaluated in the thoracic oncology clinic for treatment of non–small-cell lung cancer.

The patient had been in her usual state of good health until three months before presentation, when a nonproductive cough developed. During the next two months, the cough became productive of yellow, blood-tinged sputum. She saw her primary care physician, and a chest radiograph revealed a nodule, 2.5 cm in diameter, in the upper lobe of the right lung (Figure 1A). Computed tomographic (CT) scanning of the thorax identified a 2.5-cm nodule in the right upper lobe, . . . [Full Text of this Article]

Differential Diagnosis

Pathological Discussion

Discussion of Management

Anatomical Diagnosis


Source Information

From the Departments of Medical Oncology (T.J.L.), Thoracic Surgery (C.D.W.), Radiation Oncology (N.C.C.), Radiology (S.L.A.), and Pathology (E.J.M.), Massachusetts General Hospital; and the Departments of Medicine (T.J.L.), Surgery (C.D.W.), Radiation Oncology (N.C.C.), Radiology (S.L.A.), and Pathology (E.J.M.), Harvard Medical School.




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