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Pulmonology Quiz


Question Information

 
Question Date:
  11/06/2010
Submitted by:
  Administrator
Affiliation:
  QuestionPursuit

Question

 

58 yr old with history of cigarette smoking presents with cough, shortness of breath, fatigue and intermittent confusion.

Chest x-ray reveals a 6 cm R sided lung mass.

Laboratory testing is as follows:

WBC: 8,100 (40% lymphocytes, 52% neutrophils, 6% monocytes, 1% eosinophils, 1% basophils)

Hb: 14.2 gm/dl

Platelets: 233,000

LFTS: Total protein: 7.2 g/dL TB: 1.1, Alk Phos 123, ALT 34, AST 27

Na: 137, K: 3.9, HCO3: 16 Cl: 118, BUN: 22, Cr: 0.9, Glucose: 98, Calcium 13.9

LDH: 193

 

 

 

Of the following options, the most likely type of lung cancer is:

  1.  Sqaumous cell carcinoma of the lung
  2.  Small cell lung cancer
  3.  Large cell lung cancer
  4.  Adenocarcinoma of the lung