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Lung Cancer Relapse.
Article N° AJ22- 11
This 74 year old man was treated in 1996 with a right middle lobe resection (lobectomy) of the lung for an adenoesquamous carcinoma (T1, N0, M0 - ST. IA). He was well, however, 1 year later the CT scan showed a peripheral solitary pulmonary nodule within the left lower lobe that was removed by surgery (segmentectomy). The biopsy confirmed pulmonary metastasis of adenoesquamous carcinoma. A 1 1/2 years after the CT scan showed a new solitary pulmonary nodule in the right upper lobe that was removed by partial resection .
In 06/01 CT scan demonstrated two pleural nodules in the right upper lobe suggestive of malignant nodules in the right upper pleural cavity
Restaging FDG-PET before of the therapeutic decision.
FDG-PET scan shows multiple nodules of intense of FDG hypermetabolism within the right upper pleural cavity that is indicative of tumoral recurrence in the pleura.
The patient initiates chemotherapy treatment and a second PET study to evaluate response to treatment is pending.
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PET projections
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CT scan PET anterior projection - Transaxial images
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