Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with persistent cough, hemoptysis, and progressive dyspnea. Imaging reveals a solid pulmonary mass with mucinous components. Symptoms include unintended weight loss, fatigue, and localized chest discomfort. No history of prior malignancy; smoking status noted.
Clinical Examination Findings
General: Patient appears cachectic, respiratory distress noted. Lungs: Decreased breath sounds on the affected side, dullness to percussion. Lymph nodes: Supraclavicular or cervical lymphadenopathy may be present. Cardiovascular: Tachycardia noted, heart sounds distant.
Treatment Protocol
Multidisciplinary approach: Surgical resection (lobectomy/pneumonectomy) with lymph node dissection. Adjuvant chemotherapy or targeted therapy based on molecular profiling (EGFR, ALK, ROS1). Consider radiation therapy for local control. Mucolytic agents may be utilized for symptomatic management.