Bronchogenic carcinoma with superior vena caval invasion
most common malignancy in males
age : > 50 years old
sex : M>F
TNM classification:
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T1
T1a (< 2 cm)
T1b (2-3 cm) surrounded by lung or visceral pleura, without invasion more proximal than lobar bronchus
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T2
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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
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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
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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.