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Case #2

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Expand Primary Site

Left upper lobe, lung.

Expand Physical Exam

05/18/XX

Essentially normal. Chest x-ray after a fall reported mass in LUL.

Expand X-Rays & Scans

05/18/XX

Chest X-ray: Pleural thickening along left lateral hemithorax presumably due to rib fracture. Nodular density noted in left anterior rib not seen in old films.

06/23/XX

CT brain: Essentially negative
CT thorax: Irregular 2 cm neoplasm, LUL. No evidence of abnormal LNs.
CT liver: Unremarkable.
Chest CT: 3.5 x 3.5 cm parenchymal mass in L upper lobe.

Expand Scopes

None.

Expand Laboratory

05/18/XX

Alk phos: 208 (normal 69 - 241)

Expand Operative Findings

07/10/XX

Thoracotomy with lobectomy: Mass situated in subapical portion of L upper lobe. Mass is firm, approximately the size of a ping-pong ball with negative hilar lymphadenopathy.

Expand Pathological Reports

07/10/XX

Lobectomy: Poorly diff adenocarcinoma showing extensive central necrosis, infiltrates into, but not through, thickened pleura of the L upper lobe.

Expand Treatment

07/10/XX

Surgery: thoracotomy with left upper lobectomy

08/09/XX-10/11/XX

Chemotheropy: Taxol (paclitaxel) and carboplatin