Cavitating pulmonary metastases
Citation, DOI, disclosures and article data
At the time the article was created Yuranga Weerakkody had no recorded disclosures.View Yuranga Weerakkody's current disclosures
At the time the article was last revised Henry Knipe had the following disclosures:
- Integral Diagnostics, Shareholder (ongoing)
- Micro-X Ltd, Shareholder (ongoing)
These were assessed during peer review and were determined to not be relevant to the changes that were made.View Henry Knipe's current disclosures
Cavitating pulmonary metastases refer to pulmonary metastases which then tend to cavitate. The term is similar but may not be identical to cystic pulmonary metastases in which the wall of the former may be thicker.
Cavitation is thought to occur in around 4% of lung metastases 2.
Cavitary pulmonary metastases can come from the following primaries:
squamous cell carcinoma (70%): lung or head and neck primary 1,4,6
adenocarcinoma: gastrointestinal tract, breast 4,6
pancreatic adenocarcinoma: very rare 8
Cavitating pulmonary metastases have also been reported to develop after chemotherapy, thought to be secondary to tumor necrosis or a valve-effect on an adjacent bronchus 4,5.
Treatment and prognosis
For multiple cavitating lung lesions (nodules or masses) on imaging consider: