Unusual Periaortic Mediastinal Recurrence of Pulmonary Adenocarcinoma: When Making Diagnosis Is Really Necessary
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Published:2022-03-21
Issue:1
Volume:15
Page:300-304
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ISSN:1662-6575
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Container-title:Case Reports in Oncology
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language:en
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Short-container-title:Case Rep Oncol
Author:
Caterino UmbertoORCID,
Amore Dario,
Cesaro Cristiano,
Zamparelli Enzo,
Cesaro Flavio,
Palma Alba,
Cicalese Marcellino,
Casazza Dino,
Lucci Raffaella,
Cancellieri Alessandra
Abstract
We report an unusual mediastinal recurrence along descending thoracic aorta during oncologic follow-up in a 47-year-old female smoker issued by lung adenocarcinoma with a history of left lower lobectomy and lingulectomy en bloc followed by adjuvant chemotherapy for stage III A-N2. Regional recurrence occurring along the staple line was suspected and endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) combined to PET/CT allowed to reach definitive tissue diagnosis. High focal hypermetabolic activity on PET/CT at the site of suspect recurrence was necessary to check the lesion sampling by EBUS-TBNA.