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HomeTestimonials Decision MakingComparative Review - Achieving a Definitive Diagnosis

Comparative Review - Achieving a Definitive Diagnosis

Mr. Z, a 54-year-old gentleman enjoyed occasional social drinking and in the past was a daily smoker. He understood the risks associated with smoking and made a health-conscious decision 20 years ago to quit. Four years ago, he experienced an atypical chest discomfort and decided to consult a pulmonologist, who then referred him for a standard X-ray. As the X-ray revealed a shadow in Mr. Z’s lung, he was scheduled for a CT scan shortly after.

The CT scan proved the shadow to be a suspicious nodule in his lungs. He was evaluated by several specialists and was told the nodule was most likely benign and therefore did not require treatment. However, it was recommended that he should repeat the imaging every six months to monitor the nodule's size, as growth is a sign that could be suspicious for cancer. Mr. Z did as he was told, undergoing CT scans twice a year. With each follow up he was told that the nodule was benign.

Treating doctor recommendation icons

Mr. Z kept going to the regular imaging examinations and receiving the same answer with a recommendation to return in 6 months. He decided to seek Medix' Personal Medical Case Management service in order to confirm his diagnosis and make sure the semi-annual examinations are the best course of action. Medix assigned Mr. Z a Personal Medical Case Management team. Medix' Case Manager reviewed all of Mr. Z's imaging results and was concerned by the fact that the studies were done at different clinics on various occasions, and that the different images were never studied in comparison to one another.


With permission from Mr. Z, Medix retrieved all his imaging and medical records and sent them to a leading chest radiology specialist. For the first time, one specialist compared all
the different scans together and could see the progression of the nodule. The specialist found that the nodule had slowly but significantly grown over several years, almost doubling in size since first detected. This information was new to Mr. Z and was not detected as from one exam to the other the change was minimal. The radiology specialist noted the growth strongly raised the suspicion of invasive cancer. Medix recommended that Mr. Z undergo a biopsy to obtain a definitive diagnosis and referred him to the appropriate specialist.

Mr. Z underwent a biopsy which confirmed he indeed had a slow growing adenocarcinoma, a type of lung cancer whereby a malignant tumour is formed from glandular structures in the epithelial tissue. Subsequently, Mr. Z underwent a lobectomy procedure, for definitive treatment of the tumour.

Medix made a difference


Medix provided Mr. Z with a post-surgery consultation with a leading thoracic oncologist.
The oncologist explained that at this stage chemotherapy was not necessary, however close follow up is still required to make sure the cancer does not recur. Mr. Z was relieved that the surgery treated his cancer effectively and was grateful for the attention and care Medix had provided him throughout his medical journey.

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