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This case presents a 56-year-old male with a significant medical history, including pulmonary embolism and hypertension, alongside a substantial smoking history of 60 pack-years. He presented with facial swelling persisting for two weeks and bilateral upper extremity symptoms. The absence of alcohol consumption adds context to his health profile as we explore potential oncological concerns linked to his notable risk factors. A thorough evaluation and examination are critical for diagnosis and management.
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