Weekly Chest CasesArchive of Old Cases

Case No : 996 Date 2016-11-28

  • Courtesy of Geewon Lee, MD / Pusan National University Hospital
  • Age/Sex 55 / F
  • Chief ComplaintNeck discomfort
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Diagnosis With Brief Discussion

Diagnosis
Metastatic mediastinal lymph nodes of lung adenocarcinoma
Radiologic Findings
Chest radiograph demonstrates a nodular opacity at the right middle lung field.
Contrast-enhanced chest CT scan shows diffuse soft-tissue lesion with subtle enhancement at the right supraclavicular area, anterior and middle mediastinum. Furthermore, a lobulating, enhancing nodule is seen at the RLL and small amount of right pleural effusion is noted. EBUS-TBNA of mediastinal lymph node was performed and pathologic diagnosis was metastatic adenocarcinoma of lung origin.
Brief Review
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References
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Keywords
Mediastinum, Lymph node, Malignant tumor, metastasis,

No. of Applicants : 83

▶ Correct Answer : 12/83,  14.5%
  • - chungbuk national university hospital , Korea (South) soojung lee
  • - pusan national university hospital , Korea (South) nam soo won
  • - Pusan national university hospital , Korea (South) MIRI JEONG
  • - The first affiliated Hospital of Xiamen University , China Qing Qiang Guo
  • - The University of Tokyo Hospital , Japan Toshihiro Furuta
  • - 異⑸ , Korea (South) Junghwan Kim
  • - Chungbuk national university , Korea (South) Yong Kim
  • - University of Tsukuba Hospital , Japan Hiroaki Takahashi
  • - Chungbuk national university hospital , Korea (South) Miran Yeon
  • - Pusan National University Hospital , Korea (South) JeongBin Park
  • - Private sector , Greece Vasilios Tzilas
  • - 異⑸ , Korea (South) 瑜˜
▶ Correct Answer as Differential Diagnosis : 15/83,  18.1%
  • - SAISEIKAI KURIHASHI HOSPITAL , Japan YASUO OOKUBO
  • - Saitama-Sekishinkai Hosptal , Japan Mihoko Yamazaki
  • - Kinki University Faculty of Medicine, , Japan Mitsuru Matsuki
  • - Qatif Central Hospital , Saudi Arabia Hani Alsalam
  • - Gifu University Hospital , Japan Yo Kaneko
  • - Medicheck health care , Korea (South) Chae Lim
  • - chungbuk national university hospital , Korea (South)
  • - Diskapi Yildirim Beyazit Hospital, Ankara , Turkey Meric Tuzun
  • - Asan Medical Center, Ulsan University , Korea (South) Mi Young Kim
  • - Seoul national university hospital , Korea (South) Kumju Chae
  • - Red Cross Society Himeji Hospital , Japan Soichiro Okamoto
  • - Kanto Rosai Hospital , Japan Taku Tajima
  • - UCL , United Kingdom Ricardo Jose
  • - MBAL BURGAS , Bulgaria VLADISLAV RUSINOV
  • - Ichinomiya Nishi Hospital , Japan Takao Kiguchi
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