Archive of Old Cases
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Case No : 54 Date 1998-11-09
- Courtesy of Jae-Woo Song, M.D. / Seoul City Boramae Hospital
- Age/Sex 63 / M
- Chief ComplaintHemoptysis a few days ago
Discussion
Diagnosis With Brief Discussion
- Diagnosis
- Adenocarcinoma with cystic lung to lung metastasis
- Radiologic Findings
- Chest CT scans show a spiculated mass in the apex of the left lung with multiple small nodular lesions in both lungs. Some of the nodules appear as cavitary or ring-like lesions.
- Brief Review
- Cavitation of metastatic nodules is not as common as with primary lung carcinoma. The frequency of it is 4%, in contrast to 9% of primary lung carcinomas. Among metastatic nodules associated with cavitation, 70% are metastatic squamous cell carcinoma. The head and neck in males and the genitalia in females are the most common primary organ sites. Cavitation is observed rarely in metastatic adenocarcinoma, particularly that from colon cancer. Metastatic sarcoma can also be accompanied by cavitation, and pneumothorax is a relatively frequent complication. Chemotherapy is known to induce cavitation in metastatic pulmonary nodules.
- References
- 1. Dodd GD, Boyle JJ. Excavating pulmonary metastasis. AJR 1961;85:277-293
2. Chaudhuri MR. Cavitatory pulmonary metastasis. Thorax 1970;25:375-381
3. Libshitz HI, North LB. Pulmonary metastasis. Radiol Clin North Am 1982;20:437-451 - Keywords
- Lung, Malignant tumor, metastasis, Adenocarcinoma with cystic lung to lung metastasis
No. of Applicants : 26
- ▶ Correct Answer : 12/26, 46.2%
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- - 怨 怨
- - 怨
- - 援 諛醫
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- - 遺
- - 遺泥 源誘몄
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- - 諛
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- - 理
- ▶ Semi-Correct Answer : 4/26, 15.4%
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- - Northwestern Memorial Hospital, Chicago, IL., USA Mitchell J. Kline
- - 議곕由ъ
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