CT-guided Biopsy for the Diagnosis of Pulmonary Epithelioid Hemangioendothelioma Mimicking Metastatic Lung Cancer: A Case Report

Akiko Sasaki; Hideto Egashira; Hideyasu Sugimoto; Kenichi Seki; Toshitaka Tsukiyama; Chikamasa Ichita; Shinnosuke Tokoro; Satoshi Takizawa; Izumi Kitagawa; Shinichi Teshima; Makoto Kako

doi:10.2169/internalmedicine.1063-18

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CT-guided Biopsy for the Diagnosis of Pulmonary Epithelioid Hemangioendothelioma Mimicking Metastatic Lung Cancer: A Case Report

Akiko Sasaki, Hideto Egashira, Hideyasu Sugimoto, Kenichi Seki, Toshitaka Tsukiyama, Chikamasa Ichita, Shinnosuke Tokoro, Satoshi Takizawa, Izumi Kitagawa, Shinichi Teshima, Makoto Kako

著者情報

キーワード: thoracoscopic biopsy, multiple lung nodules, vascular tumor, minimally invasive procedure

ジャーナルオープンアクセス早期公開

論文ID: 1063-18

DOI https://doi.org/10.2169/internalmedicine.1063-18

この記事には本公開記事があります。

The final version of this article is now available: Vol. 57 (2018), No. 24 pp. 3631-3635

詳細

抄録

A 69-year-old male patient presented with multiple lung nodules revealed by chest-computed tomography (CT) during a preoperative examination for an appendiceal tumor. The nodule diameters ranged from 2-10 mm without either pleural thickening or effusions. A fluorine-18-labeled fluorodeoxyglucose (¹⁸F-FDG)-positron emission tomography (PET)/CT scan showed a high FDG uptake in the appendiceal tumor, but almost normal standardized uptake values in the bilateral lung nodules. A CT-guided biopsy led to a diagnosis of pulmonary epithelioid hemangioendothelioma, a rare vascular tumor with a radiological presentation similar to that of a metastatic lung tumor. The present case is the first to describe successful treatment using a CT-guided biopsy instead of more conventional methods.

責任著者(Corresponding author)

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