Pulmonary nodules: a challenging diagnosis during the follow up of cancer patients

Autopsy And Case Reports

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ISSN: 22361960
Editor Chefe: Maria Claudia Nogueira Zerbini
Início Publicação: 28/02/2011
Periodicidade: Trimestral
Área de Estudo: Medicina

Pulmonary nodules: a challenging diagnosis during the follow up of cancer patients

Ano: 2015 | Volume: 5 | Número: 1
Autores: R. C. Bitton, R. E. O. Ramos, S. Siqueira, O. Feher
Autor Correspondente: R. C. Bitton | [email protected]

Palavras-chave: multiple pulmonary nodules, neoplasms, tuberculosis, biopsy

Resumos Cadastrados

Resumo Inglês:

Pulmonary nodules (PN), frequently found on imaging studies, represent a diagnostic challenge during the follow up of cancer patients. However, published data regarding investigation of PNs incidentally found on chest imaging is scarce. The PN may be present at the time of cancer diagnosis, or arise during the treatment or follow-up periods. In the context of the oncologic patient these lesions are quite invariably considered as metastases, what impacts directly on patients´ treatment and prognosis. The present study reports 2 cases of pulmonary nodules found in two patients already diagnosed with cancer. Case 1 referred to a woman with squamous cell carcinoma and two pulmonary nodules, and in case 2 the patient was diagnosed with duodenal adenocarcinoma. Both patients were submitted to pulmonary biopsies before the oncologic treatment. In both cases the nodules were of infectious origin, what changed significantly the neoplasia staging and the oncologic treatment intention. The authors performed a literature review as well as a discussion about the management of PN in cancer patients.