Solve this exciting clinical case specific to your field of interest via Docplexus’ Clinical Case Challenge. Join your fellow doctors to discuss and answer today’s challenge. Case presentation A 68-year-old male patient was referred for mediastinal lymph node enlargement. He had an associated dry cough.
Medical and personal history No history of respiratory distress 60 pack-year history of smoking Examination Bronchoscopy revealed a tumor in the right upper bronchus Histopathology of the biopsied specimen revealed stage IIIB lung adenocarcinoma The tumor was EGFR‐ and ALK‐negative Management Chemo-radiotherapy was initiated with cisplatin and vinorelbine Post-chemo-radiotherapy, maintenance therapy was initiated with 10 mg/kg of durvalumab every two weeks. Follow-up The patient was responding favorably to the treatment. Two months later, his dry cough was associated with wheezing.…
