Clinical conundrums posed by rare cystic lung cancer
A retiree’s rare cancer poses diagnostic and staging challenges
Mr Teh, a 61-year-old retiree, presents with a two-month history of persistent unproductive cough and exertional dyspnoea.
He denies associated haemoptysis, fever, night sweats, chest pain, orthopnoea or peripheral oedema. There has been no recent URTI or allergen exposure.
He has no symptoms of gastro-oesophageal reflux disease. Mr Teh has a smoking history of 40 pack-years and is a non-drinker. He has a background of hypertension, typically well controlled with ramipril.
On examination, Mr Teh’s vital signs are within normal limits. Cardiovascular examination reveals dual heart sounds with no added sounds.
