Left upper lobe, lung.
SEER Training Modules
Case #2
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Primary Site
Physical Exam
05/18/XX
Essentially normal. Chest x-ray after a fall reported mass in LUL.
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.
Scopes
None.
Laboratory
05/18/XX
Alk phos: 208 (normal 69 - 241)
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.
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.
Treatment
07/10/XX
Surgery: thoracotomy with left upper lobectomy
08/09/XX-10/11/XX
Chemotheropy: Taxol (paclitaxel) and carboplatin
