Bronchogenic carcinoma with superior vena caval invasion

Discussion:
  • most common malignancy in males

  • age : > 50 years old

  • sex : M>F

TNM classification:

  • T1

    • T1a (< 2 cm)

    • T1b (2-3 cm) surrounded by lung or visceral pleura, without invasion more proximal than lobar bronchus

  • T2

    • T2a (3-5 cm), T2b (5-7 cm), or tumor with any of the following features:

      • involves main bronchus > 2 cm distal to carina

      • invades visceral pleura

      • associated with atelectasis or obstructive pneumonitis that extends to the hilar region but does not involve the entire lung

  • T3

    • tumor > 7 cm or any of the following

    • directly invades any of the following: chest wall, diaphragm, phrenic nerve, mediastinal pleura, parietal pericardium, main bronchus < 2 cm from carina without involvement of the carina

    • atelectasis or obstructive pneumonitis of the entire lung

    • separate tumor nodules in the same lobe

  • T4

    • tumor of any size that invades the mediastinum, heart, great vessels, trachea, recurrent laryngeal nerve, esophagus, vertebral body, carina, or with separate tumor nodules in ipsilateral lobe.

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