|
|||
| |||||||||||||||||||||||||||||||||||||||
Dr. Jennifer Temel (Medical Oncology): A 56-year-old woman was evaluated in the thoracic oncology clinic for treatment of nonsmall-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,
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.
HOME | SUBSCRIBE | SEARCH | CURRENT ISSUE | PAST ISSUES | COLLECTIONS | PRIVACY | HELP | beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2009 Massachusetts Medical Society. All rights reserved. |