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Journal of Education, Health and Sport

The role of computed tomography in the diagnosis of lung cancer - a case report
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The role of computed tomography in the diagnosis of lung cancer - a case report

Authors

  • Justyna Cabaj Student Research Group at the Chair and Department of Pneumology, Oncology and Allergology, Medical University of Lublin
  • Julia Bargieł Student Research Group at the Chair and Department of Pneumology, Oncology and Allergology, Medical University of Lublin
  • Izabela Chmielewska Department of Pneumonology, Oncology and Allergology, Medical University of Lublin, Jaczewskiego 8, 20-090 Lublin
  • Janusz Milanowski Department of Pneumonology, Oncology and Allergology, Medical University of Lublin, Jaczewskiego 8, 20-090 Lublin

DOI:

https://doi.org/10.12775/JEHS.2022.12.01.011

Keywords

computed tomography, diagnosis of lung cancer, a case report

Abstract

Introduction Lung cancer has been the main oncological problem in the world for years. It is extremely important to use appropriate diagnostic methods that enable its detection and implementation of appropriate treatment. Aim The presented case shows the advantage of computed tomography over chest X-ray (X-ray) in visualizing neoplastic changes in the lungs. Case Study The paper presents a description of a patient diagnosed with centrally located advanced lung adenocarcinoma with a strong expression of PD-L1 qualified for treatment with pembrolizumab. Results and Discussion Presented case confirms that X-ray is less sensitive, especially in the case of centrally located tumors. Therefore, the emergence of a new cough in a smoker or ex-smoker should raise concerns related to lung cancer despite a normal X-ray image. The central location of the tumor may cause dramatic course of the symptoms. In the presented case, a sudden significant deterioration of the condition was observed due to atelectasis of the entire lung. Haemoptysis observed during hospitalization was another symptom of centraly located tumor mass. Conclusions In conclusion, the history of cigarette smoking, presence of typical symptoms should provide an in-depth diagnosis of lung cancer, despite normal X-ray. Diagnostic procedures include computed tomography in the first place. The course of centrally localized disease may change rapidly during on first cycle of treatment. Due to the possibility of serious complications of the ongoing neoplastic disease, the patient should be under constant medical supervision.

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Journal of Education, Health and Sport

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Published

2022-01-15

How to Cite

1.
CABAJ, Justyna, BARGIEŁ, Julia, CHMIELEWSKA, Izabela & MILANOWSKI, Janusz. The role of computed tomography in the diagnosis of lung cancer - a case report . Journal of Education, Health and Sport [online]. 15 January 2022, T. 12, nr 1, s. 138–146. [accessed 27.3.2023]. DOI 10.12775/JEHS.2022.12.01.011.
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Issue

Vol. 12 No. 1 (2022)

Section

Case Reports

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Copyright (c) 2022 Justyna Cabaj, Julia Bargieł, Izabela Chmielewska, Janusz Milanowski

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

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