Cavitating pulmonary metastases

Case contributed by Dr Dalia Ibrahim

Presentation

Known case of bronchogenic cancer under chemotherapeutic treatment.

Patient Data

Age: 45 years
Gender: Male

Left upper lobar medial para-aortic irregular shaped soft tissue mass lesion, encasing the descending thoracic aorta and merging with the enlarged left hilar lymph nodes.

Multiple bilateral pulmonary small cavitating nodules.

Mild left pleural effusion.

Multiple mildly enlarged para-tracheal, prevascular, aorto-pulmonary and subcarinal lymph nodes.

Case Discussion

Cavitating pulmonary metastasis occurs most commonly secondary to squamous cell carcinoma of the lung as in this case or the head and neck.

Other primary tumors causing cavitating pulmonary metastasis include:

  • gastrointestinal adenocarcinoma
  • transitional cell carcinoma of the urinary bladder
  • sarcoma
  • cervical cancer

Differential diagnosis

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