Presentation
Otherwise well middle aged female presents with a right cheek mass. Other masses identified on abdomen and back.
Patient Data
FNAC of cheek suggested neuroendocrine tumor CT to find the primary
Large left upper lobe mass invading the mediastinal pleura and encircling the left upper lobe pulmonary artery at its origin.
Extensive pre-aortic lymphadenopathy. 1.5cm right adrenal nodule.
Two soft tissue masses in the subcutaneous tissues of the left side of the back, abdominal wall and right ischoanal fossa.
Right ilium and left sacral body metastases.
Histology from the lung mass confirmed the suspicions from the cheek FNAC of a neuroendocrine tumor of pulmonary origin.
The subcutanous lesions on the cheek, back and abdominal wall being metastases.
Case Discussion
Unusual presentation of a less common lung primary - a pulmonary neuroendocrine tumor.
The patient has a cheek mass initially though to be an abscess - FNAC on the second visit indicated a neuroendocrine tumor.
CT identified a left upper lobe mass as well as multiple further subcutaenous masses, including in the ischioanal fossa in keeping with a lung primary with metastatic disease.
Bony metastatic lesions in the right ilum and left sacral body.
Unable to process the form. Check for errors and try again.