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Pulmonary and Critical Care Pearls |

A 63-Year-Old Man With Suspected Lung Cancer and Acute Renal Failure*

Anthony Papagiannis; Athanasios Xafenias; George Kourtoglou; Kostas Zarogoulidis
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*From St. Luke’s Hospital (Drs. Papagiannis and Kourtoglou), Thessaloniki; and Lung Tumor Research Section (Drs. Xafenias and Zarogoulidis), George Papanikolaou Hospital, Thessaloniki, Greece.

Correspondence to: Anthony Papagiannis, MD, FCCP, Gregoriou E’ 42, GR 542 49 Thessaloniki, Greece; e-mail: antpap@the.forthnet.gr



Chest. 2003;123(6):2140-2143. doi:10.1378/chest.123.6.2140
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A 63-year-old man, a 100–pack-year smoker, presented with a 2-month history of cough, hoarse voice, anorexia, and weight loss. Radiologic studies showed a large, solid, left parahilar mass with mediastinal adenopathy (Fig 1 ). Bronchoscopy revealed paralysis of the left vocal cord, but was otherwise nondiagnostic on two occasions; “random” bronchial biopsies and cytology specimens were unremarkable. The patient rejected the suggestion of mediastinal exploration. Staging investigations were negative for metastatic disease.

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