Because the patient continues to have hemoptysis, surgical resection of the lung lesion is done. The resected lesion is as shown in the picture. He also has a 20-lb weight loss. Chest x-ray shows a mass in the left upper lobe. Lobectomy is done showing a tumor mass with gross features illustrated in the pictures.
Adrenal metastasis is frequent.
It is associated with exudative pleural effusion. It is slow growing and has a good prognosis. Smoking increases significantly the risk of developing this tumor. All are true. She is a cigarette smoker consuming about a pack per day.