Presentation
Shoulder pain.
Patient Data
Age: 75 years
Gender: Male
From the case:
Superior sulcus tumor
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Opacity obscuring the right lung apex.
From the case:
Superior sulcus tumor
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A large mass in right lung apex invading chest wall and eroding the second and third right ribs. There is an hypoattenuating center (necrosis) and surrounding enhancement. The mass also involves the right subclavian artery.
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CT guided core-biopsy. Obviously the central necrotic area was not the biopsy target, two fragments were obtained from peripheral area.
Case Discussion
The case was confirmed as a squamous cell carcinoma (non–small cell carcinoma).