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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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Autores principales: Ali, Asghar, Venkatram, Sindhaghatta, Niazi, Masooma, Diaz-Fuentes, Gilda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6928348/
https://www.ncbi.nlm.nih.gov/pubmed/31890559
http://dx.doi.org/10.1016/j.rmcr.2019.100982
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author Ali, Asghar
Venkatram, Sindhaghatta
Niazi, Masooma
Diaz-Fuentes, Gilda
author_facet Ali, Asghar
Venkatram, Sindhaghatta
Niazi, Masooma
Diaz-Fuentes, Gilda
author_sort Ali, Asghar
collection PubMed
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.
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spelling pubmed-69283482019-12-30 Lung mass with bilateral mediastinal hypermetabolic lymphadenopathy in a chronic smoker indicative of lung cancer? Ali, Asghar Venkatram, Sindhaghatta Niazi, Masooma Diaz-Fuentes, Gilda Respir Med Case Rep Case Report 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. Elsevier 2019-12-13 /pmc/articles/PMC6928348/ /pubmed/31890559 http://dx.doi.org/10.1016/j.rmcr.2019.100982 Text en http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Ali, Asghar
Venkatram, Sindhaghatta
Niazi, Masooma
Diaz-Fuentes, Gilda
Lung mass with bilateral mediastinal hypermetabolic lymphadenopathy in a chronic smoker indicative of lung cancer?
title 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_short 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?
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6928348/
https://www.ncbi.nlm.nih.gov/pubmed/31890559
http://dx.doi.org/10.1016/j.rmcr.2019.100982
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