Cause for this cavitary lung mass

Chief Complaint A 63 year old male presents with fevers & cough for 2 months. History He smoked 4-5 cigerates/day and drinks occasionally. No previous history of any disease or malignancy. He has cough 2-3 times this years which relieves on medication. Vitals Vital are normal. Examination Physical examination is normal including cardiac & pulmonary exam. Investigations CT shows a 3 cm cavitary mass in the left lung extending to the pleural space. A CT guided biopsy of the lung mass shows suspicious cells indicating malignancy. Treatment What is your opinion on the treatment part?

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? LUNG..CANCER .. TREATMENT.. VARY .. BUT MAY INCLUDE.. SURGERY.. CHEMOTHERAPY.. RADIATION THERAPY.. TARGETED DRUG THERAPY.. IMMUNOTHERAPY.. WITH.. ONCOLOGISTS OPINION.. R/O.. COVID-19..

Tnx Dr Mukundarao Koduru
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?? CA-LUNG RULE OUT COVID-19 AS WELL IF NEGATIVE THEN PLAN FOR SURGERY..AND REPEAT BIOPSY TO CONCLUDE...

Thanks Dr. Vipin Bihari Jain
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As biopsy indicating malignancy, see for any metastatic lesions, pt will require chemotherapy/ surgery depending on staging

Antibiotics in solution are run into the cavity and, combined with cavity drainage, have brought about complete or partial cavity closure, reduction in sputum output and clinical improvement in eight patients so treated.

Looks Lung cancer Decide whether it’s malignant of benign Look for metastasis Surgery Chemo and if require radiotherapy

As per reports of biopsy treatment of malignancy to be done under opinion of Oncologist

Thanks Dr. Dinesh Gupta , Dr. Kute Ankush, Dr. Gyanendra Tripathi
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ADVISABLE... RULE. OUT FOCAL ORGANIZING PNEUMONIA...

Suspect maglinancy Initially go for covid RT PCR Need pet CT to rule out primary lesion Need complete evaluation under pulmonologist and need expert of medical oncologist

Examine for cervical lymph nodes and if oresent then biospy. Whole body PET CT scan for staging. To decide the site of biopsy and IHC Serum CEA. Then plan for treatment

Lung cancer? Treartment include surgery.radio therapy chemotherapy immunotherapy but As he is 63 yr old . Give symptomatic antibiotics and anti inflammatory Treartment with r/o covid -19 and oncologist opinion

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