Asbestosis complicated by lung cancer

Case contributed by Dr Hani Salam

Presentation

Shortness of breath, history of asbestos exposure.

Patient Data

Age: 70 years
Gender: Male
CT

August 2012

Initial CT scan demonstrates a faint ground glass nodule at the right lower lobe.

X-ray

April 2015

Low lung volume with bilateral reticulations, bilateral pleural calcification are noted.

CT

April 2015

Bilateral calcified and none calcified plural plaques. 

Mild centrilobular emphysema. Interstitial lung changes more at the lung bases.

A nodule at the right lower lobe has increased in size at the interval. 

Nuclear medicine

PET CT June 2015

Increase uptake at the right lower lobe nodule.

CT

August 2015

Further increase in the size of the right lower lobe nodule. 

CT

November 2015

Further increase in the size of the right lower lobe nodule, now demonstrates central lucency suggest possible cavitiaiton. 

Case Discussion

Surgical pathology from right lower lobe segmentectomy: squamous cell carcinoma, non-kertinizing.

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Case information

rID: 45834
Published: 12th Dec 2018
Last edited: 15th Dec 2018
System: Oncology, Chest
Inclusion in quiz mode: Included

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