TY - JOUR
T1 - Unsuspected endobronchial tumor detected by PET/CT
T2 - A patient with 3 synchronous squamous cell cancers
AU - Varghese, Joji
AU - Bhargava, Peeyush
AU - Baxter, Aaron
PY - 2010/8
Y1 - 2010/8
N2 - We present the PET/CT images of a 64-year-old man who presented with an exophytic lesion on the right foot fourth interdigital web space. Punch biopsy revealed squamous cell carcinoma (SCC). A staging CT scan showed an epiglottic mass, which on subsequent biopsy revealed a second SCC. Whole body PET/CT showed focal hypermetabolism in the epiglottis and focal hypermetabolism in a 5-mm endobronchial soft tissue density at the trifurcation of the basal trunk of the left lower lobe bronchus. Endoscopic biopsy showed poorly differentiated SCC and led to the management of 3 synchronous primary SCCs. The patient underwent a left lower lobectomy for Stage I squamous cell lung cancer, followed by external beam radiation for Stage Ia SCC of the epiglottis, and finally amputation of the fourth and fifth toes of the right foot.
AB - We present the PET/CT images of a 64-year-old man who presented with an exophytic lesion on the right foot fourth interdigital web space. Punch biopsy revealed squamous cell carcinoma (SCC). A staging CT scan showed an epiglottic mass, which on subsequent biopsy revealed a second SCC. Whole body PET/CT showed focal hypermetabolism in the epiglottis and focal hypermetabolism in a 5-mm endobronchial soft tissue density at the trifurcation of the basal trunk of the left lower lobe bronchus. Endoscopic biopsy showed poorly differentiated SCC and led to the management of 3 synchronous primary SCCs. The patient underwent a left lower lobectomy for Stage I squamous cell lung cancer, followed by external beam radiation for Stage Ia SCC of the epiglottis, and finally amputation of the fourth and fifth toes of the right foot.
KW - PET/CT
KW - squamous cell cancer
KW - synchronous malignancy
UR - http://www.scopus.com/inward/record.url?scp=77955123723&partnerID=8YFLogxK
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U2 - 10.1097/RLU.0b013e3181e4da1d
DO - 10.1097/RLU.0b013e3181e4da1d
M3 - Article
C2 - 20631513
AN - SCOPUS:77955123723
SN - 0363-9762
VL - 35
SP - 610
EP - 611
JO - Clinical Nuclear Medicine
JF - Clinical Nuclear Medicine
IS - 8
ER -