RT Book, Section
A1 Usatine, Richard P.
A1 Smith, Mindy A.
A1 Chumley, Heidi S.
A1 Mayeaux, E.J.
SR Print(0)
ID 57673837
T1 Chapter 58. Lung Cancer
T2 The Color Atlas of Family Medicine, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176964-8
LK accessmedicine.mhmedical.com/content.aspx?aid=57673837
RD 2024/04/19
AB A  60-year-old  woman  presents  with  a  solid,  nontender,  movable  mass  on  her  upper  chest  that's  been  there  for  6  months.  It  began  as  a  dime-size  mass  and  has  been  growing  more  rapidly  over  the  past  month  (Figure  58-1A).  She  has  lost  10  pounds  over  the  last  year  without  dieting.  She  has  smoked  1  pack  of  cigarettes  per  day  since  age  18  years  and  gets  short  of  breath  easily.  Her  “smoker's  cough”  has  gotten  worse  in  the  last  few  months  and  occasionally  she  coughs  up  some  blood-tinged  sputum.  Her  family  physician  excised  the  mass  in  the  office  and  sent  it  to  pathology  (Figure  58-1B).  When  the  result  demonstrated  squamous  cell  carcinoma  of  the  lung,  a  chest  x-ray  (CXR)  was  ordered  (Figure  58-2A).  The  radiologist  suggested  a  CT  to  confirm  the  diagnosis  (Figure  58-2B).  The  patient  chose  to  have  no  treatment  and  passed  away  in  10  months  of  her  lung  cancer.