“…Other symptoms are hemoptysis, cough, back or shoulder pain, dysnea, fever, pleural effusion or bulging of the chest wall [1,11,14]. Symptons can also derive from the pressure exerted on the surrounding tissues, although superior vena cava syndrome is very uncommon [10,13,16]. The most specific sign is the expectoration of hair or trichoptysis due to bronchial communication that appears in one in ten patients [2,7,11].…”