July 2014 pulmonary case of the month: where did it come from?

Abstract

No abstract available. Article truncated at 150 words. History of Present Illness: A 67 year old man presented with worsening cough and shortness of breath. He has a history of metastatic colon cancer first diagnosed in 2010. He was treated with radiation and chemotherapy (FOLFOX) but unfortunately developed new pulmonary nodules in October, 2013 which were metastatic colon cancer on biopsy. In February 2014 he developed a right parietal brain mass which was resected. Thoracic CT scan at that time showed progression of the pulmonary nodules. He has also noted a 30 pound weight loss over the past 6 months and an enlarging right supraclavicular lymph node. PMH, FH, SH: In addition to the colon cancer, he has previous diagnosis of type 2 diabetes mellitus, hypertension, and allergic rhinitis, and vitamin D deficiency. He is married and a recently retired railroad engineer. He has no history of tobacco use. There is a positive family history of lung cancer ...

Keywords

• bronchial metastasis
• metastasis
• colon cancer
• lung atelectasis
• tumor debulking
• central airway obstruction
• CT scan
• bronchoscopy
• chest x-ray
• histology