British Association for Cytopathology January 2025 Case Study
Double Trouble
Leonie Wheeldon Consultant Biomedical Scientist Diagnostic Cytology Royal Cornwall Hospital
Clinical information
- 63-Year-old male
- Smoker
- Works in industry with exposure to dusty environment
- 5 weeks of worsening shortness of breath and wheezy on talking
- X2 courses of antibiotics and steroids with no improvement
- Chest X-ray shows right upper lobe consolidation and Left lower lobe shadow.
- CT shows – Probable bronchogenic carcinoma at right hilum with extensive mediastinal lymphadenopathy and bilateral adrenal deposits and neck nodes
