207_Combined course Presentations

CLINICAL CASE #1 – Locally advanced NSCLC

 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+)