Lung cancer and adrenal mass CT-guided biopsy

Case contributed by Dr Bruno Di Muzio

Presentation

Smoker with a lung mass in the right lower pulmonary lobe and a huge mass in left adrenal. Patient with was submitted to a previous core-needle biopsy with an inconclusive results. Was referenced to a new diagnostic procedure.

Patient Data

Age: 71
Gender: Male
Modality: CT

Patient had previous CT exams in other hospital, on the CT scout for planning the biopsies is possible to identify the masses on right lower lobe and on left adrenal (arrows). 

Modality: CT

Two different sites were approached on this procedure: first a core-needle was introduced to achieve left adrenal mass by a left paravertebral path; after that an another core-needle was introduced by an intercostal path to achieve the right basal pulmonary mass. 

Case Discussion

After the case discussion with the oncologist, as the patient was submitted for two previous core-needle biopsies in other service and there is a doubt about the origin of the tumor, we opted for both masses approach. 

As pulmonary mass biopsy could be complicated with an pneumothorax, adrenal mass biopsy was performed first. The procedure had no complications.

Pathological examination revealed a lung cancer with adrenal metastasis

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Case Information

rID: 28558
Case created: 31st Mar 2014
Last edited: 10th Sep 2015
Inclusion in quiz mode: Included

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