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Uventet fund af endobronkial lungetumor ved bronkoskopi hos en storryger

Magnus Gottlieb1, Paul Frost Clementsen2, Kåre Håkansson3, René Horsleben Petersen1 & Lars Konge4 1) Thoraxkirurgisk Klinik, Rigshospitalet 2) Lungemedicinsk Afdeling, Gentofte Hospital 3) Øre-næse-halskirurgisk og Audiologisk Klinik, Rigshospitalet 4) Center for Klinisk Uddannelse, CEKU, Københavns Universitet Ugeskr Læger 2014;176:V05140262
Ugeskr Læger 2014;176:V05140262
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Surprising squamous cell carcinoma in the right upper lobe at bronchoscopy in a heavy smoker
A 60-year-old male heavy smoker surprisingly presented with a squamous cell carcinoma in the right upper lobe at bronchoscopy. Combined PET-CT classified the lung cancer as T1aN0M0. However, the endoscopic classification was T2a, which radically reversed the treatment schedule. Conclusions: 1) A careful bronchoscopy is important even in cases where lung cancer is not expected. 2) Accurate endobronchial classification can be crucial. 3) There is need for training requirements to obtain a satisfactory level of competence in bronchoscopy.
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