Limits...
Indolent metastatic squamous cell carcinoma of unknown primary in the intrathoracic lymph node: a case report and review of the literatures.

Kim MJ, Lim SH, Han SJ, Choi KH, Lee SH, Park MW, Kang H, Na JO - Tuberc Respir Dis (Seoul) (2015)

Bottom Line: Abnormal mass in the right hilar area was incidentally detected.A chest computed tomography scan showed a 2.5-cm diameter mass in the right hilum that had changed little in size for 3 years.The patient received adjuvant chemotherapy for a diagnosis of T0N1M0 lung cancer.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea.

ABSTRACT
Metastatic squamous cell carcinoma from a cancer of unknown primary (CUP) affecting the intrathoracic lymph node is very rare. We reported a case of metastatic squamous cell carcinoma in the hilar and interlobar lymph node from a patient with CUP and reviewed the associated literature. Abnormal mass in the right hilar area was incidentally detected. A chest computed tomography scan showed a 2.5-cm diameter mass in the right hilum that had changed little in size for 3 years. The patient underwent a right pneumonectomy and mediastinal lymph node dissection. A metastatic squamous cell carcinoma in the hilar and interlobar lymph nodes without a primary lung or other lesion was diagnosed. The patient received adjuvant chemotherapy for a diagnosis of T0N1M0 lung cancer.

No MeSH data available.


Related in: MedlinePlus

Grossly, several enlarged lymph nodes (arrows) were found in the hilar and interlobar area.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4311031&req=5

Figure 2: Grossly, several enlarged lymph nodes (arrows) were found in the hilar and interlobar area.

Mentions: Right pneumonectomy and mediastinal lymph node dissection were done. Grossly, several enlarged lymph nodes were found in the hilar and interlobar areas (Figure 2). On serial gross section of the lung, there was no abnormal lesion at bronchial tree and lung parenchyma except multiple lymph nodes enlargement. Entire bronchus and peribronchial tissue were embedded and evaluated. Microscopically, metastatic squamous cell carcinoma was found at several lymph nodes (8/45) and there was no tumor in the lung parenchyma and bronchial tree (Figure 3). Although the tumor was very close to the main bronchus, there was no evidence of bronchial invasion microscopically by tumor. The patient was diagnosed with T0N1M0 lung cancer and has received four cycles of adjuvant chemotherapy with cisplatin and vinorelbine. He has been observed at outpatient clinic after treatment without any evidence of recurrence so far.


Indolent metastatic squamous cell carcinoma of unknown primary in the intrathoracic lymph node: a case report and review of the literatures.

Kim MJ, Lim SH, Han SJ, Choi KH, Lee SH, Park MW, Kang H, Na JO - Tuberc Respir Dis (Seoul) (2015)

Grossly, several enlarged lymph nodes (arrows) were found in the hilar and interlobar area.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4311031&req=5

Figure 2: Grossly, several enlarged lymph nodes (arrows) were found in the hilar and interlobar area.
Mentions: Right pneumonectomy and mediastinal lymph node dissection were done. Grossly, several enlarged lymph nodes were found in the hilar and interlobar areas (Figure 2). On serial gross section of the lung, there was no abnormal lesion at bronchial tree and lung parenchyma except multiple lymph nodes enlargement. Entire bronchus and peribronchial tissue were embedded and evaluated. Microscopically, metastatic squamous cell carcinoma was found at several lymph nodes (8/45) and there was no tumor in the lung parenchyma and bronchial tree (Figure 3). Although the tumor was very close to the main bronchus, there was no evidence of bronchial invasion microscopically by tumor. The patient was diagnosed with T0N1M0 lung cancer and has received four cycles of adjuvant chemotherapy with cisplatin and vinorelbine. He has been observed at outpatient clinic after treatment without any evidence of recurrence so far.

Bottom Line: Abnormal mass in the right hilar area was incidentally detected.A chest computed tomography scan showed a 2.5-cm diameter mass in the right hilum that had changed little in size for 3 years.The patient received adjuvant chemotherapy for a diagnosis of T0N1M0 lung cancer.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea.

ABSTRACT
Metastatic squamous cell carcinoma from a cancer of unknown primary (CUP) affecting the intrathoracic lymph node is very rare. We reported a case of metastatic squamous cell carcinoma in the hilar and interlobar lymph node from a patient with CUP and reviewed the associated literature. Abnormal mass in the right hilar area was incidentally detected. A chest computed tomography scan showed a 2.5-cm diameter mass in the right hilum that had changed little in size for 3 years. The patient underwent a right pneumonectomy and mediastinal lymph node dissection. A metastatic squamous cell carcinoma in the hilar and interlobar lymph nodes without a primary lung or other lesion was diagnosed. The patient received adjuvant chemotherapy for a diagnosis of T0N1M0 lung cancer.

No MeSH data available.


Related in: MedlinePlus