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C-1933 - Bizarre lesions mimicking Lung Cancer: Potential causes of misdiagnosis

M. Monachen, S. Y. Pangarkar, A. Janu; Mumbai/IN Type: Educational Exhibit
Area of Interests: Oncology, Respiratory system, Lung
Imaging Techniques: PET-CT, CT, CT-High Resolution
Procedures: Biopsy, History
Special Focuses: Cancer, Infection, Multidisciplinary cancer care
Please note: This poster is part of the session VoE 80 - India on Friday, March 3, 14:00 - 15:00 Add poster to my schedule In your schedule (remove)

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Learning objectives: To highlight the role of clinical history in radiological practice. How putting all atypical features of a case in one basket will help in reaching the most probable diagnosis. To appreciate how metabolic imaging can aid (and sometimes confuse) in diagnosis.

Background: Great improvements in CT, especially in high-resolution CT (HRCT) and MDCT with isotropic volumetric CT examination, has made it possible to show precisely the morphologic characteristics of a disease and, thus, make correct imaging diagnoses of lung cancer possible in many cases.  However, man[...]

Findings and procedure details: Every patient underwent detailed history taking. Subtle key imaging pointers from available literature are included. Final diagnosis was obtained via biopsy. We will discuss these cases and simultaneously highlight how history, imaging clues and the pathologic background played a critical role in re[...]

Conclusion: A wide variety of pulmonary conditions present imaging features that mimic those of primary lung cancer. These are difficult to differentiate from cancer. Awareness of these conditions, with an understanding of their pathologic background, careful attention to clinical and occupational history, will[...]

Personal information: Dr Matthew Monachen, MBBS, Department of Radiology, Tata Memorial Hospital, Mumbai, India; mattmonachen@gmail.com.   Dr Sayali Y Pangarkar, MBBS, Department of Radiology, Tata Memorial Hospital, Mumbai, India; sayalee1807@gmail.com.   Dr Amit Janu, DNB, Department of Radiology, Tata M[...]

References: Leung AN. Pulmonary tuberculosis:  the  essentials.  Radiology 1999; 210:307-322. Leung AN, Brauner Mw, Gam.au G, et aL Pulmonary tuberculosis: comparison of Cf findings in HlV-seropositive and IDV-seronegative patients. Radiology 1996; 198:687-691.  Sanchez A. Larsen R. Em[...]

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