Lung sequestration and foregut cyst misleading staging investigations for colonic cancer

Radiology, Thoracic Surgery
Case Report
10.1102/1470-5206.2009.0013
9
45-48
Lung sequestration and foregut cyst misleading staging investigations for colonic cancer

We report the diagnostic challenges raised by the uncommon synchronous finding of a lung sequestration and foregut cyst in a 76-year-old male scheduled for radical treatment of his colonic cancer. Following a computed tomography (CT) scan of the chest and a combined positron emission tomography (PET)-CT scan these lesions initially suggested a primary lung cancer with single-station mediastinal nodal disease. At the end of an inconclusive non-invasive diagnostic pathway, histopathologic diagnosis was obtained by video-assisted thoracoscopy, converted into a limited thoracotomy. Even though advanced imaging techniques are providing an overall improvement in diagnostic accuracy, invasive biopsy continues to represent an additional option in complex cases.

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Editor-in-Chief

Frank Cross
Consultant Vascular and General Surgeon
The London Clinic, UK

Editors

Neil Barnes
Consultant Physician
Barts Health NHS Trust, London, UK
Ali Jawad
Professor of Rheumatology
Barts Health NHS Trust, London, UK

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