CTICasesSquamous Cell Carcinoma of the Right Main Bronchus
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Imaging findings
Initially, a soft tissue nodule was noted in the right main bronchus with a solid density extending posteriorly through the wall, suspicious for a neoplasm. Two years later, the patient presented with a large obstructing mass, high-grade stenosis, and a necrotic lymph node. Bronchoscopic images showed tight stenosis in the right main bronchus near the carina.
Key takeaways
This case illustrates the natural history of a well-differentiated squamous cell carcinoma if left untreated, progressing from a suspicious nodule to a large obstructing mass with regional lymph node involvement over two years.
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