Man with dyspnea and chest pain
Author and Disclosure Information [Show]

Maurie Markman, MD, President, Department of Medical Oncology, Cancer Treatment Centers of America.

Maurie Markman, MD, has disclosed the following relevant financial relationships:

Serve(d) as a director, officer, partner, employee, advisor, consultant, or trustee for: Merck
Serve(d) as a speaker or a member of a speakers bureau for: AstraZeneca; Novis; Glaxo Smith Kline
Received research grant from: AstraZeneca; Novis; GSK; Merck

Question 1 of 3

A 56-year-old man presents with dyspnea, wheezing, and chest pain. He has a 9-year history of moderate chronic obstructive pulmonary disease (COPD), which he manages with bronchodilators. The patient began smoking in high school and continued through adulthood but quit when he began pulmonary rehabilitation for COPD with the help of nicotine patches. His wife, however, still smokes. He has low pulmonary reserve and hypercalcemia. Because of the patient's history and other risk factors, chest radiography was ordered; it showed a cavitary lesion in the lower part of the left lung, abutting the left lower lobe bronchus, with pleural effusion and volume loss.

What is the likely diagnosis?


Squamous cell carcinoma


Small cell lung cancer

This quiz is not accredited for CME.

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