Unusual Periaortic Mediastinal Recurrence of Pulmonary Adenocarcinoma: When Making Diagnosis Is Really Necessary

We report an unusual mediastinal recurrence along descending thoracic aorta during oncologic follow-up in a 47-year-old female smoker issued by lung adenocarcinoma with a history of left lower lobectomy and lingulectomy en bloc followed by adjuvant chemotherapy for stage III A-N2. Regional recurrenc...

Descripción completa

Detalles Bibliográficos
Autores principales: Caterino, Umberto, Amore, Dario, Cesaro, Cristiano, Zamparelli, Enzo, Cesaro, Flavio, Palma, Alba, Cicalese, Marcellino, Casazza, Dino, Lucci, Raffaella, Cancellieri, Alessandra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9035963/
https://www.ncbi.nlm.nih.gov/pubmed/35529285
http://dx.doi.org/10.1159/000523736
_version_ 1784693416812085248
author Caterino, Umberto
Amore, Dario
Cesaro, Cristiano
Zamparelli, Enzo
Cesaro, Flavio
Palma, Alba
Cicalese, Marcellino
Casazza, Dino
Lucci, Raffaella
Cancellieri, Alessandra
author_facet Caterino, Umberto
Amore, Dario
Cesaro, Cristiano
Zamparelli, Enzo
Cesaro, Flavio
Palma, Alba
Cicalese, Marcellino
Casazza, Dino
Lucci, Raffaella
Cancellieri, Alessandra
author_sort Caterino, Umberto
collection PubMed
description We report an unusual mediastinal recurrence along descending thoracic aorta during oncologic follow-up in a 47-year-old female smoker issued by lung adenocarcinoma with a history of left lower lobectomy and lingulectomy en bloc followed by adjuvant chemotherapy for stage III A-N2. Regional recurrence occurring along the staple line was suspected and endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) combined to PET/CT allowed to reach definitive tissue diagnosis. High focal hypermetabolic activity on PET/CT at the site of suspect recurrence was necessary to check the lesion sampling by EBUS-TBNA.
format Online
Article
Text
id pubmed-9035963
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher S. Karger AG
record_format MEDLINE/PubMed
spelling pubmed-90359632022-05-06 Unusual Periaortic Mediastinal Recurrence of Pulmonary Adenocarcinoma: When Making Diagnosis Is Really Necessary Caterino, Umberto Amore, Dario Cesaro, Cristiano Zamparelli, Enzo Cesaro, Flavio Palma, Alba Cicalese, Marcellino Casazza, Dino Lucci, Raffaella Cancellieri, Alessandra Case Rep Oncol Case Report We report an unusual mediastinal recurrence along descending thoracic aorta during oncologic follow-up in a 47-year-old female smoker issued by lung adenocarcinoma with a history of left lower lobectomy and lingulectomy en bloc followed by adjuvant chemotherapy for stage III A-N2. Regional recurrence occurring along the staple line was suspected and endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) combined to PET/CT allowed to reach definitive tissue diagnosis. High focal hypermetabolic activity on PET/CT at the site of suspect recurrence was necessary to check the lesion sampling by EBUS-TBNA. S. Karger AG 2022-03-21 /pmc/articles/PMC9035963/ /pubmed/35529285 http://dx.doi.org/10.1159/000523736 Text en Copyright © 2022 by S. Karger AG, Basel https://creativecommons.org/licenses/by-nc/4.0/This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Case Report
Caterino, Umberto
Amore, Dario
Cesaro, Cristiano
Zamparelli, Enzo
Cesaro, Flavio
Palma, Alba
Cicalese, Marcellino
Casazza, Dino
Lucci, Raffaella
Cancellieri, Alessandra
Unusual Periaortic Mediastinal Recurrence of Pulmonary Adenocarcinoma: When Making Diagnosis Is Really Necessary
title Unusual Periaortic Mediastinal Recurrence of Pulmonary Adenocarcinoma: When Making Diagnosis Is Really Necessary
title_full Unusual Periaortic Mediastinal Recurrence of Pulmonary Adenocarcinoma: When Making Diagnosis Is Really Necessary
title_fullStr Unusual Periaortic Mediastinal Recurrence of Pulmonary Adenocarcinoma: When Making Diagnosis Is Really Necessary
title_full_unstemmed Unusual Periaortic Mediastinal Recurrence of Pulmonary Adenocarcinoma: When Making Diagnosis Is Really Necessary
title_short Unusual Periaortic Mediastinal Recurrence of Pulmonary Adenocarcinoma: When Making Diagnosis Is Really Necessary
title_sort unusual periaortic mediastinal recurrence of pulmonary adenocarcinoma: when making diagnosis is really necessary
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9035963/
https://www.ncbi.nlm.nih.gov/pubmed/35529285
http://dx.doi.org/10.1159/000523736
work_keys_str_mv AT caterinoumberto unusualperiaorticmediastinalrecurrenceofpulmonaryadenocarcinomawhenmakingdiagnosisisreallynecessary
AT amoredario unusualperiaorticmediastinalrecurrenceofpulmonaryadenocarcinomawhenmakingdiagnosisisreallynecessary
AT cesarocristiano unusualperiaorticmediastinalrecurrenceofpulmonaryadenocarcinomawhenmakingdiagnosisisreallynecessary
AT zamparellienzo unusualperiaorticmediastinalrecurrenceofpulmonaryadenocarcinomawhenmakingdiagnosisisreallynecessary
AT cesaroflavio unusualperiaorticmediastinalrecurrenceofpulmonaryadenocarcinomawhenmakingdiagnosisisreallynecessary
AT palmaalba unusualperiaorticmediastinalrecurrenceofpulmonaryadenocarcinomawhenmakingdiagnosisisreallynecessary
AT cicalesemarcellino unusualperiaorticmediastinalrecurrenceofpulmonaryadenocarcinomawhenmakingdiagnosisisreallynecessary
AT casazzadino unusualperiaorticmediastinalrecurrenceofpulmonaryadenocarcinomawhenmakingdiagnosisisreallynecessary
AT lucciraffaella unusualperiaorticmediastinalrecurrenceofpulmonaryadenocarcinomawhenmakingdiagnosisisreallynecessary
AT cancellierialessandra unusualperiaorticmediastinalrecurrenceofpulmonaryadenocarcinomawhenmakingdiagnosisisreallynecessary

Ejemplares similares