- Log in , or
- Create account .
To edit pages, please
Physical examination and biopsy
Often, malignancy give off a fluid. In the various parts of the body, this is more common. Especially the lungs. These can be examined to tell
Serum electrophoresis Hypercalcaemia
Xray CT scan Bone scan - inject with radioactivity - looks at changes in bone turnover. Mets tend to have increase or decreased metabolism, which can often show up on the scan. DEXA scan - low dose scan that looks at bone density PET scan - MRI scan -
He has also recently developed increasing pain in his lower back which wakes him at night.
He is usually fit and well, with no previous significant medical history. He is a smoker with a 25 pack year smoking history.
His GP organises a Chest Xray with a report as follows:
- Normal heart size.
- Left lower lobe collapse with enlargement of the left hilum.
- The appearances are highly suspicious of an underlying malignancy and therefore urgent referral to the lung multidisciplinary team is recommended for further investigation.
- paraneoplastic - hypercalcaemia
- staging and prognosis