Squamous cell carcinoma of the lung differential diagnosis: Difference between revisions
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! style="background: #4479BA; width: 300px;" | {{fontcolor|#FFF|Differentiating Features}} | ! style="background: #4479BA; width: 300px;" | {{fontcolor|#FFF|Differentiating Features}} | ||
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|style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;"|''' [[Pulmonary tuberculosis]]''' | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |''' [[Pulmonary tuberculosis]]''' | ||
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*Chronic [[cough]], [[weight loss]], [[hemoptysis]], nocturnal diaphoresis, [[dyspnea]] | *Chronic [[cough]], [[weight loss]], [[hemoptysis]], nocturnal diaphoresis, [[dyspnea]] | ||
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*In pulmonary tuberculosis, differentiating features include: increase in diameter despite optimal medical therapy, patients age is usually younger, hemoptisis is an early feature, and CXR anatomical predilection for upper lobes | *In pulmonary tuberculosis, differentiating features include: increase in diameter despite optimal medical therapy, patients age is usually younger, hemoptisis is an early feature, and CXR anatomical predilection for upper lobes | ||
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|style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;"|''' [[Sarcoidosis]]''' | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |''' [[Sarcoidosis]]''' | ||
|style="padding: 5px 5px; background: #F5F5F5;"| | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
*Chronic [[cough]], [[weight loss]], and [[dyspnea]] | *Chronic [[cough]], [[weight loss]], and [[dyspnea]] | ||
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*In lung abscess, differentiating features include: acute or subacute onset, CXR anatomical predilection for upper lobes, and usually resolve with antibiotic | *In lung abscess, differentiating features include: acute or subacute onset, CXR anatomical predilection for upper lobes, and usually resolve with antibiotic | ||
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|style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;"|'''[[Pneumonia]]''' | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |'''[[Pneumonia]]''' | ||
|style="padding: 5px 5px; background: #F5F5F5;"| | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
*Cough, fatigue, and dyspnea | *Cough, fatigue, and dyspnea | ||
|style="padding: 5px 5px; background: #F5F5F5;"| | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
*In pneumonia, differentiating features include: good response to antibiotics, acute onset, predilection on CXR is consolidation, laboratory markers indicate infection | *In pneumonia, differentiating features include: good response to antibiotics, acute onset, predilection on CXR is consolidation, laboratory markers indicate infection | ||
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|style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;"| '''[[Pulmonary fungal infection]]''' | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" | '''[[Fungal infection|Pulmonary fungal infection]]''' | ||
|style="padding: 5px 5px; background: #F5F5F5;"| | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
*Chronic [[cough]], [[weight loss]], [[hemoptysis]], and [[dyspnea]] | *Chronic [[cough]], [[weight loss]], [[hemoptysis]], and [[dyspnea]] | ||
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*In primary fungal infection, differentiating features include: CXR findings: air-cresecent sign, no response to antibioitcs, and mimcs tuberculosis | *In primary fungal infection, differentiating features include: CXR findings: air-cresecent sign, no response to antibioitcs, and mimcs tuberculosis | ||
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|style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;"|'''[[Metastases]]''' | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |'''[[Metastases]]''' | ||
|style="padding: 5px 5px; background: #F5F5F5;"| | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
*Chronic [[cough]], [[weight loss]], [[hemoptysis]], and [[dyspnea]] | *Chronic [[cough]], [[weight loss]], [[hemoptysis]], and [[dyspnea]] | ||
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*In metastases, differentiating features include: multicentricity, involvement of the contralateral hemitorax, and usually primary cancer is known | *In metastases, differentiating features include: multicentricity, involvement of the contralateral hemitorax, and usually primary cancer is known | ||
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==References== | ==References== |
Revision as of 21:54, 2 March 2016
Squamous Cell Carcinoma of the Lung Microchapters |
Differentiating Squamous Cell Carcinoma of the Lung from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shanshan Cen, M.D. [2] Maria Fernanda Villarreal, M.D. [3]
Overview
Squamous cell carcinoma of the lung must be differentiated from other diseases that cause chronic cough, weight loss, hemoptysis, and dyspnea among adults such as pulmonary tuberculosis, sarcoidosis, pneumonia, pulmonary fungal infection, and secondary metastases.
Differential Diagnosis
- The table below summarizes the findings that differentiate squamous cell carcinoma of the lung from other conditions that cause chronic cough, weight loss, hemoptysis, and dyspnea.[1][2]
Differential Diagnosis | Similar Features | Differentiating Features |
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Pulmonary tuberculosis |
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Sarcoidosis |
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Pneumonia |
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Pulmonary fungal infection |
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Metastases |
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References
- ↑ Bhatt M, Kant S, Bhaskar R (2012). "Pulmonary tuberculosis as differential diagnosis of lung cancer". South Asian J Cancer. 1 (1): 36–42. doi:10.4103/2278-330X.96507. PMC 3876596. PMID 24455507.
- ↑ Kamiya K, Yoshizu A, Misumi Y, Hida N, Okamoto H, Yoshida S (2011). "[Lung abscess which needed to be distinguished from lung cancer; report of a case]". Kyobu Geka. 64 (13): 1204–7. PMID 22242302.