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Surgery Thorax And Mediastinum 1dd97ca5

A 65-year-old miner has lost 7 kg weight within two months, has presented with cough, and blood streaked sputum. He was treated for pulmonary tuberculosis 10 years ago. He also has drooping of his left eyelid for one month. On physical examination, there is ptosis of the left eye and papillary miosis. Chest X-ray revealed round opacification in the left upper apical lobe. What is the most probable diagnosis?

A
Secondary tuberculosis
B
Adenocarcinoma
C
Squamous cell carcinoma
D
Asbestosis
High-Yield Explanation
Squamous cell carcinoma MC in smokers, MC type in IndiaQ Central in distribution and prone to undergo central necrosis and cavitationQ MC variety associated with hypercalcemiaQ (produces PTH-rp) Pancoast tumor is histologically SCCQ Associated with best prognosisQ

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