A 78-year-old man presents to your clinic with hemoptysis for 2 weeks. His history is significant for smoking one and a half packs of cigarettes per day for the past 60 years. He denies having a fever or purulent sputum. He also reports a weight loss of 8kg over the past 2 months and increasing dyspnea. On physical examination BP is 165/90 mm Hg, and the rest of his vital signs are normal. The patient appears to have a full, round face with truncal obesity, and there is wasting and bruising of the extremities.
Cardiovascular and pulmonary examination results are normal.
A chest x-ray is obtained and shows an enlargement of the right hilum. Laboratory studies reveal a fasting serum glucoseof 200 mg/dL. What is the most likely diagnosis?
A. Non-Hodgkin lymphoma
B. Small cell carcinoma of the lung
C. Squamous cell carcinoma of the lung
D. Large cell carcinoma of the lung
E. Adenocarcinoma of the lung
Cardiovascular and pulmonary examination results are normal.
A chest x-ray is obtained and shows an enlargement of the right hilum. Laboratory studies reveal a fasting serum glucoseof 200 mg/dL. What is the most likely diagnosis?
A. Non-Hodgkin lymphoma
B. Small cell carcinoma of the lung
C. Squamous cell carcinoma of the lung
D. Large cell carcinoma of the lung
E. Adenocarcinoma of the lung