Weekly Chest CasesArchive of Old Cases

Case No : 1211 Date 2021-01-06

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  • Courtesy of Won Gi Jeong, Jong Eun Lee, Yun-Hyeon Kim / Chonnam National University Hwasun Hospital
  • Age/Sex 56 / M
  • Chief ComplaintBlood-tinged sputum
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4
  • Figure 5
  • Figure 6
  • Figure 7

Diagnosis With Brief Discussion

Diagnosis
Metastatic renal cell carcinoma (clear cell type)
Radiologic Findings
Fig 1. Chest PA shows approximately 4.5 cm mass in right hilum
Fig 2-5. CT scans shows heterogeneously enhancing masses with internal hypoattenuating portions in central portion of right upper lobe and right lower paratracheal area.
Fig 6-7. 18F-FDG PET/CT demonstrates high FDG uptake within the lesions (SUVmax : 3.3).
Brief Review
Clear cell renal cell carcinoma (RCC) is the most common subtype, representing 75%
References
1. Brufau BP, Cerqueda CS, Villalba LB, Izquierdo RS, Gonz
Keywords
lymph node, metastasis ,

No. of Applicants : 91

▶ Correct Answer : 6/91,  6.6%
  • - Chonbuk National University Hospital , Korea (South) JUNGHWAN KIM
  • - National Center for Global Health and Medicine , Japan MASATOSHI HOTTA
  • - Gifu University Hospital , Japan Yo Kaneko
  • - Chonnam National University Hospital , Korea (South) SUNGMO KIM
  • - , Korea (South) JOON YOUNG PARK
  • - Ichinomiya Nishi Hospital , Japan Takao Kiguchi
▶ Correct Answer as Differential Diagnosis : 20/91,  22.0%
  • - Showa University Fujigaoka Hospital , Japan KYOKO NAGAI
  • - TWMU Medical Center East , Japan MASAFUMI KAIUME
  • - National cancer center hospital east , Japan SHIOTO ODA
  • - McGill University Health Center , Canada ALEXANDRE SEMIONOV
  • - , France LE GUEN RAPHAEL
  • - The University of Tokyo Hospital , Japan MOTO NAKAYA
  • - Ichinomiya Nishi Hospital , Japan CHIHIRO KIGUCHI
  • - Asan Medical Center , Korea (South) EUNJI CHOI
  • - Vita Hospital , Brazil DIOGO LAGO PINHEIRO
  • - Other , Korea (South) SEONGSU KANG
  • - Soonchunhyang University Hospital Bucheon , Korea (South) SEONGHWAN BYUN
  • - Mayo Clinic , Japan HIROAKI TAKAHASHI
  • - Mallinckrodt Institute of Radiology , United States NAGANATHAN MANI
  • - Other , Korea (South) JANGHYEON SONG
  • - Ajou University Hospital , Korea (South) HYERIN KIM
  • - Kyeongpook National University Hospital , Korea (South) PARK BYUNG GEON
  • - Fortis hospital , Mohali , India SHALEEN RANA
  • - Toranomon Hospital , Japan KAORU SUMIDA
  • - , Japan KAZUMA TERAUCHI
  • - Hamamatsu University Hospital , Japan YUKI HAYASHI
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