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Cancer Pulmonar Prezentare Caz

Vasile Draghici, a 46-year-old male, presented with diffuse joint pain, cough, and shortness of breath. Imaging showed an irregular opacity in the left lung base along with bone and liver metastases, consistent with stage IV small cell lung cancer. Due to the advanced stage at presentation and absence of known risk factors, prognosis was very poor with estimated survival of 5-6 months.

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Inna Maria
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1K views15 pages

Cancer Pulmonar Prezentare Caz

Vasile Draghici, a 46-year-old male, presented with diffuse joint pain, cough, and shortness of breath. Imaging showed an irregular opacity in the left lung base along with bone and liver metastases, consistent with stage IV small cell lung cancer. Due to the advanced stage at presentation and absence of known risk factors, prognosis was very poor with estimated survival of 5-6 months.

Uploaded by

Inna Maria
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPS, PDF, TXT or read online on Scribd
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DRAGHICI VASILE, 46 ani

MOTIVELE INTERNARII Dureri articulare difuze Tuse Dispnee


ANTECEDENTE H-C Neaga
ANTECEDENTE PERSONALE Neaga

COMPORTAMENTE Nefumator Nu consuma alcool

EXAMEN OBIECTIV

Stare generala alterata Denutritie gradul I Dureri la nivelul articulatiilor coxo-femurale Aparat respirator: submatitate baza hemitoracelui stang, murmur vezicular diminuat la acest nivel Fara alte modificari la examenul obiectiv

DATE BIOLOGICE

Anemie normocroma, normocitara usoara Restul datelor biologice uzuale in limite normale

RADIOGRAFIE PULMONARA

DIAGNOSTIC DIFERENTIAL

Neoplasm bronho-pulmonar forma centrala Metastaza pulmonara Adenopatie hilara - limfom (Hodgkin, non-hodgkin) - sarcoidoza - tuberculoza pulmonara - histoplasmoza Dilatare de artera pulmonara stanga

DIAGNOSTIC POZITIV PREZUMPTIV


NEOPLASM BRONHO-PULMONAR - Sindrom de impregnare neoplazica - Radiografie pulmonara - opacitate neomogena prost delimitata, cu prelungiri in parenchim, proiectata parahilar stang pe radiografia de fata - liza costala coasta VII stanga, 1/3 mediala

STADIALIZARE-metodologie
1.

2.

3.

Bronhoscopie cu examen citologic si biopsie Examen computer tomografic cerebral si toraco-abdominal Scintigrafie osoasa cu tecnetiu

DIAGNOSTIC POZITIV DE CERTITUDINE

NEOPLASM BRONHO-PULMONAR CU CELULE MICI STADIUL IV CU METASTAZE PLEURALE, HEPATICE, SUPRARENALIENE SI OSOASE

ATITUDINE TERAPEUTICA
TRATAMENT PALEATIV

Chimioterapie Radioterapie antialgica tintita pe leziunile osoase Terapie antialgica si suportiva

PARTICULARITATEA CAZULUI

Absenta factorilor de risc pentru neoplasmul bronho-pulmonar Diagnostic in stadiu avansat datorita prezentarii tardive la medic

PROGNOSTIC. EVOLUTIE

Prognostic foarte rezervat, durata de supravietuire estimata 5-6 luni din momentul prezentarii la medic

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