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Chronic Cough With Non-Resolving Mass-like Consolidation
Sandra Li Yan Hui1, Salahudeen Mohamed Haja Mohideen2, Xin Min Cheng3
1Department of Respiratory and Critical Care Medicine, Changi General Hospital, Singapore.
This case highlights a rare presentation of lung cancer in an elderly Chinese man with a history of tuberculosis. Early diagnosis is crucial for managing this potentially aggressive malignancy.
Area of Science:
- Pulmonology
- Oncology
Background:
- A 72-year-old male with a history of pulmonary tuberculosis presented with chronic respiratory symptoms.
- The patient was a non-smoker with no family history of cancer.
Observation:
- Symptoms included chronic dry cough, weight loss, and progressive dyspnea over 5 months.
- Chest radiograph revealed mass-like consolidation, right hilar border loss, pleural effusion, and apical scarring.
Findings:
- Physical examination showed reduced breath sounds on the right chest.
- Vital signs were stable, with no fever or digital clubbing.
Implications:
- This case underscores the importance of considering malignancy in patients with prior tuberculosis and persistent respiratory symptoms.
- Diagnostic imaging and further investigation are essential for accurate diagnosis and timely treatment of lung masses.
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