
74-year-old man with cough and recent pulmonary infection (15 days ago).
Previous diabetus Mellitus
Stopped Tobacco 8 years before (7 pack-years)
Blood sample: unremarkable
A transbronchial biopsy was performed and revealed a poorly differenciated non small cell carcinoma.

Two liver metastases were found on abdominal CT
TNM classification: T2bN2M1B = stage 4 / 7th International classification
Excavated non small cell lung carcinoma with a clinical advanced stage (stage IV).