Adrenal metastasis from small cell lung cancer (FDG PET/CT)

Case contributed by Dr Chris O'Donnell

Presentation

Breathlessness in an ex-smoker

Patient Data

Age: 75
Gender: Male

Typical features of complete left upper lobe collapse 

Endobronchial mass producing the lung collapse and a large right adrenal mass.  No other obvious metastatic lesions.

Nuclear medicine

CT PET

PET/CT for staging of the probable lung malignancy. Marked FDG accumulation associated with the left upper lobe bronchus producing collapse as well as in the large right adrenal metastasis

Ultrasound

Ultrasound prior to guided biopsy

Solid mass lesion in the right adrenal gland.

Case Discussion

The adrenal is a favoured metastatic site for lung cancer.  Small cell lung cancers typically have large and dispersed metastases with relatively small primaries, including lymphadenopathy but also visceral metastases.

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Case information

rID: 19133
Case created: 9th Aug 2012
Last edited: 22nd Nov 2016
Systems: Chest, Urogenital
Inclusion in quiz mode: Included

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