Solitary 2

A 70 year old man is referred by his primary care physician, after his chest x-ray was found to show a solitary pulmonary nodule.

His history is significant for a worsening cough for 1 year, and sporadic, mild hemoptysis for 2 months.

He stopped smoking 5 years ago, after consuming a total of 50 pack years.

Select Relevant Investigations
X-Ray Chest

Performed

A homogenous ovoid nodule measuring approximately 2cm x 1cm in size is present in the right upper lobe.
Contrast CT Chest

Performed

A centrally located, ovoid nodule of 2 cm x 1cm is seen in the right upper lobe with partly solid attenuation and air bronchograms; the margin is lobulated. No mediastinal lymphadenopathy is seen.
FDG-PET scan

Performed

The FDG-PET scan shows a circumscribed area of high uptake in the right upper lobe.
Transbronchial Biopsy

Performed

The transbronchial fine needle aspiration biopsy is suggestive of primary squamous cell carcinoma of the lung.

Select Relevant Management
Surgical Resection
Radiotherapy
Antituberculous Therapy
Chemotherapy