CASE 511: LUNG CANCER,Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Woman 60 yo with pain at left  lung after trauma. Chest x-rays detected rupture of 2 ribs

and  one mass at left lung ( see chest x-rays).

CT of  chest with CE

CT 1=   frontal view    

CT 2=  crossed section  

CT 3 = sagittal view

CT 4 with CE= very high CE enhancement.

Ultrasound at left lung  detected a tumor in invasion of the chest wall  (US1)   

US  2 = Color Doppler  shows  vascular supply to tumor   

Blood tests rised:  Cyfra 21-1= 6.02 ( N=  3.3);   CEA=  7.13  ( N= 5).

Biopsy result with CT guided is 
adenocarcinoma of the lung.

Staging of this case  with  MSCT total body detected metastasis of the brain.

Conclusion:    Lung cancer detected accidentally by trauma, stage 4.