Adenocarcinoma of the lung - micropapillary predominant

Case contributed by Hani Makky Al Salam , 20 Jan 2016
Diagnosis almost certain
Changed by Yaïr Glick, 12 Jul 2018

Updates to Case Attributes

Diagnostic Certainty was set to .
Body was changed:

An opacity on a chest radiograph in a smoker should prompt further assessment and evaluation as those patients are at higher risk of lung malignancy.

Pathology: Adenocarcinoma, micropapillary predominant.

  • -<p>An opacity on a chest radiograph in a smoker should prompt further assessment and evaluation as those patients are at higher risk of lung malignancy.</p><p>Pathology: Adenocarcinoma, <a href="/articles/micropapillary-predominant-adenocarcinoma-of-the-lung">micropapillary predominant</a>.</p>
  • +<p>An opacity on a chest radiograph in a smoker should prompt further assessment and evaluation as those patients are at higher risk of <a title="Primary lung malignancy" href="/articles/lung-cancer-3">lung malignancy</a>.</p><p>Pathology: <a title="Adenocarcinoma of lung" href="/articles/adenocarcinoma-of-the-lung">Adenocarcinoma</a>, <a href="/articles/micropapillary-predominant-adenocarcinoma-of-the-lung">micropapillary predominant</a>.</p>

Updates to Study Attributes

Findings was changed:

Frontal chest radiograph demonstrates left perihilar opacity. The opacity is seen on the lateral radiograph overlying the spine, indicating its posterior locationfurther localising it to the superior segment of the left lower lobe (LLL).

Updates to Study Attributes

Findings was changed:

A large mass is seen in the superior segment of the left lower lobe. The mass demonstrates heterogeneous enhancement with probable central necrosis. Small mediastinal lymph nodes are seen as well. There is a background of moderate centrilobular and paraseptal emphysema.

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