A left upper lobe and hilar mass is an abnormal growth or lump found in the upper section of the left lung and the hilum, the central region where airways and blood vessels enter and exit the lung. Common causes include lung cancer, infections, benign tumors, inflammatory conditions, lymphadenopathy, cysts, and abscesses. Symptoms include persistent cough, shortness of breath, coughing up blood, chest pain, wheezing, recurrent respiratory infections, general symptoms, hoarseness, and shoulder pain. Diagnosis of lung masses, including cancer, involves a multi-step process including imaging tests, tissue biopsy, sputum cytology, and blood tests. Special procedures such as navigational bronchoscopy, rapid EBUS, crystal lung biopsy, and EBUS-TBNA help doctors use bronchoscopes, get live images, and determine the stage of the disease to plan treatment.
Left Upper Lobe and Hilar Mass is a common malignant lung cancer diagnosis that often requires surgery. The surgical approach is typically an Upper Lobectomy + Systematic Lymph Node Dissection (SLND). This involves removing the entire upper lobe of the left lung, containing the primary tumor, to minimize recurrence. SLND is performed to accurately stage the cancer by checking if it has spread to crucial lymph nodes, guiding treatment decisions. It also removes potentially cancerous lymph nodes, aiming for a more complete cure. This combined approach is an effective strategy for treating localized lung cancer with potential nodal involvement, often followed by chemotherapy or radiation therapy depending on the tumor’s stage and characteristics.
Mr. Charles Guillaume from Netherlands successfully underwent Upper Lobectomy & Lymph Node Dissection for Left Upper Lobe and Hilar Mass at Yashoda Hospitals, Hyderabad, under the supervision of Dr. B Viswesvaran, Consultant Interventional Pulmonology and Sleep Medicine.
Dr. B Viswesvaran
MD, DNB, DM (Pulmonary and Critical Care - Gold Medalist), Fellowship in Sleep Medicine (Gold Medalist), Fellowship in Interventional Pulmonology (Malaysia), European Diploma in Adult Respiratory Medicine ( Switzerland )Senior Consultant Interventional Pulmonology and Sleep Medicine
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