Primary lung cancer arising from the wall of a giant bulla in which positron emission tomography was useful for preoperative diagnosis
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Takeshi Yoshikawa, MD, PhD Takahiko Misao, MD, PhD · Motoi Aoe, MD, PhD
- چاپ و سال / کشور: 2010
Description
We report a case of lung cancer arising from the wall of a giant bulla. A 58-year-old man consulted a physician because of bloody sputum. Chest computed tomography (CT) revealed a left upper giant bulla with partial thickness of the wall. Cytology of both sputum and transbronchial brushing was negative at that time. After 6 months follow-up CT scans showed more thickness of the wall, and positron emission tomography (PET) revealed high accumulation of fl uorodeoxyglucose in the thickened wall. Because lung cancer was highly suspected, we performed an operation without a defi nitive diagnosis. The postoperative pathological diagnosis was large cell carcinoma arising from the wall of a giant bulla. Because a preoperative diagnosis is diffi cult in the case of lung carcinoma associated with bullous disease due to the lack of a characteristic radiological appearance and the diffi culty of pathological examination, we emphasize that PET is a useful diagnostic tool
Gen Thorac Cardiovasc Surg (2011) 59:137–140 DOI 10.1007/s11748-010-0618-7 Received: 8 September 2009 / Accepted: 16 March 2010
