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A 55-year-old, otherwise healthy man (ECOG PS =
0
)
Former smoker (quit 10 years ago)
Suspicious 5-cm mass in right upper lobe (RUL) at the chest X-ray
Chest
CT scan
: 5x4-cm spiculated lesion in RUL and suspicious 1.7-cm
mediastinal lymph node (LN) at the 4R region
PET-CT
: 5-cm fluorodeoxyglucose (FDG) avid mass in RUL (mSUV 16.4),
right hilum, 4R node (SUV4)
Bronchoscopy and Endobronchial Ultrasound (EBUS):
Biopsy of lung lesion and 4R LN; both show adenocarcinoma
(CK7+, CK20-TTF1+)
CLINICAL CASE #1 – Locally advanced NSCLC