Squamous cell carcinoma of the lung physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]

Overview

Physical examination findings of squamous cell carcinoma of the lung will depend on the location of the tumor. Non-small cell lung cancer with central location may cause crackling sounds, focal wheezing, voice hoarseness, and tachypnea. Peripheral location can present with pleurisy findings, such as reduced chest expansion. Common physical examination of patients with squamous cell carcinoma include crackling or bubbling noises, decreased/absent breath sounds, and whispered pectoriloquy.

Physical Examination

General appearance

  • Well-appearing
  • Older age in relation to chronological age
  • Lethargic
  • Confused

Vital Signs

Chest

Inspection

  • Performed in the anterior chest/posterior chest
  • Hoarseness
  • Rapid rate of breathing

Auscultation

Percussion

Abdomen

Musculoskeletal

  • Palpable soft-tissue mass

Skin

HEENT

CNS

Extremities

References

  1. Hyde L, Hyde CI (1974). "Clinical manifestations of lung cancer". Chest. 65 (3): 299–306. PMID 4813837.


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