Archive of Old Cases
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- Archive of Old Cases
- 2013
Case No : 816 Date 2013-06-17
- Courtesy of Song Soo Kim / Chungnam National University College of Medicine
- Age/Sex 53 / M
- Chief ComplaintChest PA abnormality on health check-up
Discussion
Diagnosis With Brief Discussion
- Diagnosis
- Mucoepidermoid carcinoma, low grade
- Radiologic Findings
- Fig 1. Chest PA shows a prominent and hazy hilar opacity, right.
Fig 2-5. CT scans show an enhancing endobronchial soft tissue mass (2.5cm) in right main bronchus and associated distal obstructive pneumonitis in RUL.
Fig 6. PET-CT shows a mildly increased glucose metabolism (SUV 3.2).
- Brief Review
- Mucoepidermoid carcinoma
-Arise from the minor salivary glands in the tracheobronchial tree
-Classified as either low grade or high grade: Basis on histologic criteria
-Age: nearly one-half, under 30 years old
-Location: mostly in the lobar or segmental bronchi rather than the trachea or main bronchus
-Intraluminal nodule: branching features of the airway
-D/DX: 1. Adenoid cystic carcinoma, 2. Squamous cell carcinoma, 3. Metastasis
- References
- Park CM, Goo JM, et al. Tumors in the trachebronchial tree: CT and FDG PET features. Radiographics 2009; 29:55-71
- Keywords
- airway, lung, Malignant tumor,
Bronchoscopy
No. of Applicants : 72
- ▶ Correct Answer : 2/72, 2.8%
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- - IRCCS Istituto Oncologico - Bari , Italy Carlo Florio
- - Fukuyama City Hospital , Japan Mayu Uka
- ▶ Correct Answer as Differential Diagnosis : 18/72, 25.0%
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- - University of British Columbia , Canada Amr Ajlan
- - Chonnam National University Hospital , Korea (South) Jung hyun Kim
- - Konkuk university hospital , Korea (South) Jeong Geun Yi
- - GHICL , France manuel toledano
- - Oita University, Faculty of Medicine , Japan Fumito Okada
- - clinique de SAVOIE , France, Metropolitan gay-depassier philippe
- - Korea university anam hospital , Korea (South) Sung-Hye You
- - Onomichi municipal hospital , Japan Hirofumi Mifune
- - SAISEIKAI KURIHASHI HOSPITAL , Japan YASUO OOKUBO
- - McGill University Health Center , Canada Alexandre Semionov
- - Myongji hospital , Korea (South) Ji Ye Lee
- - Kizawa Memorial Hospital , Japan Yo Kaneko
- - Northern Yokohama Showa university , Japan Kota Watanabe
- - Kyoto University , Japan Akihiko Sakata
- - CLINIQUE STE CLOTILDE , Reunion patrick MASCAREL
- - Deptt of Radiodiagnosis & Imaging, PGIMER chandigarh , India Ram Galwa
- - Private sector , Greece Vasilios Tzilas
- - Kyungpook National University Hospital , Korea (South) Jaekwang Lim
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