Lung mass with bilateral mediastinal hypermetabolic lymphadenopathy in a chronic smoker indicative of lung cancer?

Lung mass with bilateral mediastinal hypermetabolic lymphadenopathy in a chronic smoker indicative of lung cancer?

We present the case of an asymptomatic woman, a chronic heavy smoker, who presented with an incidental lung mass and mediastinal lymphadenopathy. Bronchoscopy with transbronchial biopsy and endobronchial ultrasound-guided transbronchial needle aspiration did not show malignancy. A positron emission...

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Main Authors: Asghar Ali, Sindhaghatta Venkatram, Masooma Niazi, Gilda Diaz-Fuentes
Format: Article
Language:English
Published: Elsevier 2020-01-01
Series:Respiratory Medicine Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2213007119303156
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spelling doaj-c70a7fbdffdd4e9c98cddf14a3222e372020-11-25T02:07:56ZengElsevierRespiratory Medicine Case Reports2213-00712020-01-0129Lung mass with bilateral mediastinal hypermetabolic lymphadenopathy in a chronic smoker indicative of lung cancer?Asghar Ali0Sindhaghatta Venkatram1Masooma Niazi2Gilda Diaz-Fuentes3Division of Pulmonary and Critical Care Medicine, BronxCare Health System, 1650 Grand Concourse, Bronx, NY, 10457, USA; Corresponding author.,Division of Pulmonary and Critical Care Medicine, BronxCare Health System, 1650 Grand Concourse, Bronx, NY, 10457, USADepartment of Pathology, BronxCare Health System, 1650 Grand Concourse, Bronx, NY, 10457, USADivision of Pulmonary and Critical Care Medicine, BronxCare Health System, 1650 Grand Concourse, Bronx, NY, 10457, USAWe present the case of an asymptomatic woman, a chronic heavy smoker, who presented with an incidental lung mass and mediastinal lymphadenopathy. Bronchoscopy with transbronchial biopsy and endobronchial ultrasound-guided transbronchial needle aspiration did not show malignancy. A positron emission tomography/computed tomography scan showed increased uptake with a standardized uptake value of 26.4 in the mediastinal lymph node and an additional hypermetabolic right supraclavicular lymph node. Surgical biopsy of the supraclavicular node revealed non-necrotizing granuloma. Discussion of the clinical dilemma is provided. Keywords: Sarcoidosis, PET CT, Lung masshttp://www.sciencedirect.com/science/article/pii/S2213007119303156
collection DOAJ
language English
format Article
sources DOAJ
author Asghar Ali
Sindhaghatta Venkatram
Masooma Niazi
Gilda Diaz-Fuentes
spellingShingle Asghar Ali
Sindhaghatta Venkatram
Masooma Niazi
Gilda Diaz-Fuentes
Lung mass with bilateral mediastinal hypermetabolic lymphadenopathy in a chronic smoker indicative of lung cancer?
Respiratory Medicine Case Reports
author_facet Asghar Ali
Sindhaghatta Venkatram
Masooma Niazi
Gilda Diaz-Fuentes
author_sort Asghar Ali
title Lung mass with bilateral mediastinal hypermetabolic lymphadenopathy in a chronic smoker indicative of lung cancer?
title_short Lung mass with bilateral mediastinal hypermetabolic lymphadenopathy in a chronic smoker indicative of lung cancer?
title_full Lung mass with bilateral mediastinal hypermetabolic lymphadenopathy in a chronic smoker indicative of lung cancer?
title_fullStr Lung mass with bilateral mediastinal hypermetabolic lymphadenopathy in a chronic smoker indicative of lung cancer?
title_full_unstemmed Lung mass with bilateral mediastinal hypermetabolic lymphadenopathy in a chronic smoker indicative of lung cancer?
title_sort lung mass with bilateral mediastinal hypermetabolic lymphadenopathy in a chronic smoker indicative of lung cancer?
publisher Elsevier
series Respiratory Medicine Case Reports
issn 2213-0071
publishDate 2020-01-01
description We present the case of an asymptomatic woman, a chronic heavy smoker, who presented with an incidental lung mass and mediastinal lymphadenopathy. Bronchoscopy with transbronchial biopsy and endobronchial ultrasound-guided transbronchial needle aspiration did not show malignancy. A positron emission tomography/computed tomography scan showed increased uptake with a standardized uptake value of 26.4 in the mediastinal lymph node and an additional hypermetabolic right supraclavicular lymph node. Surgical biopsy of the supraclavicular node revealed non-necrotizing granuloma. Discussion of the clinical dilemma is provided. Keywords: Sarcoidosis, PET CT, Lung mass
url http://www.sciencedirect.com/science/article/pii/S2213007119303156
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AT sindhaghattavenkatram lungmasswithbilateralmediastinalhypermetaboliclymphadenopathyinachronicsmokerindicativeoflungcancer
AT masoomaniazi lungmasswithbilateralmediastinalhypermetaboliclymphadenopathyinachronicsmokerindicativeoflungcancer
AT gildadiazfuentes lungmasswithbilateralmediastinalhypermetaboliclymphadenopathyinachronicsmokerindicativeoflungcancer
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