A 60 year old man presents with non productive cough and haemoptysis for 4 weeks; He has grade III clubbing, and a lesion in the apical lobe on x ray. Most likely diagnosis here is :
Answer is B (non small cell carcinoma): Presence of non productive cough, haemoptysis, clubbing and an apical lobe lesion in a sixty year old male suggests a diagnosis of carcinoma lung. Association with clubbing and a peripheral location lead us to a diagnosis of non small cell variant. Most common histological variant associated with clubbing : non small cell carcinoma Most common histological variant presenting at peripheral location : non small cell carcinoma Tuberculosis although, may present with such symptomatology, the age of the patient and non productive nature of cough go against its diagnosis.
Small cell ca
Non small cell ca
Fungal infection
Tuberculosis