Small-cell lung cancer with tracheal compression

Case contributed by Derek Smith , 3 Dec 2014
Diagnosis almost certain
Changed by Bruno Di Muzio, 29 Dec 2018

Updates to Case Attributes

Title was changed:
Small cell-cell lung cancer with tracheal compression
Age changed from 70 to 70 years.
Body was changed:

Pathology of the neck lump was consistent with metastatic small cell-cell carcinoma of the lung.

This gentleman was referred to oncology and unfortunately died three days after presentation.

  • -<p>Pathology of the neck lump was consistent with metastatic small cell carcinoma of the lung.</p><p>This gentleman was referred to oncology and unfortunately died three days after presentation.</p>
  • +<p>Pathology of the neck lump was consistent with metastatic <a title="Small cell carcinoma of the lung" href="/articles/small-cell-lung-cancer-2">small-cell carcinoma of the lung</a>.</p><p>This gentleman was referred to oncology and unfortunately died three days after presentation.</p>
Diagnostic Certainty was set to .

Updates to Link Attributes

Title was removed:
Small cell lung cancer with tracheal compression
Type was removed.
Visible was set to .

Updates to Primarylink Attributes

Updates to Study Attributes

Caption was added:
Chest radiograph

Updates to Study Attributes

Caption was added:
CT Chest
Findings was changed:

Malignant 13cmLarge mediastinal soft tissue mass causing airway deviation (~13cm) extending into the left supraclavicular region.  Superior mediastinal disease deviating trachea and compression aroundoesophagus to the right.  Luminal narrowing within the trachea and proximal bronchi (5mm diameter at carina). Bulky mediastinal and left supraclavicular involvement.  Liver and

Background emphysematous changes.  Small left pleural effusion.  9mm soft tissue nodule in left upper lobe periphery.   The SVC is patent although the azygos vein is narrowed.​​

Ill-defined low attenuated region in the right lobe of the liver (3cm).  Heterogenous left adrenal metastases presentmass (3.3cm). Gallstones, no other significant abdominal abnormality.

No destructive bony lesions.

Images Changes:

Image CT (non-contrast) ( update )

Description was removed:
Large mediastinal soft tissue mass extending into left supraclavicular region. Superior mediastinal disease deviating trachea and oesophagus to the right. Luminal narrowing within trachea and proximal bronchi (5mm diameter at carina). Background emphysematous changes. Small left pleural effusion. 9mm soft tissue nodule in left upper lobe periphery. The SVC is patent although the azygos vein is narrowed. Ill defined low attenuated region in right lobe of liver (3cm). Heterogenous left adrenal mass (3.3cm). Gallstones, no other significant abdominal abnormality. No destructive bony lesions.

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