CT Imaging Features of Thin-Walled Cavitary Squamous Cell Lung Cancer

Opoka, Lucyna; Szturmowicz, Monika; Oniszh, Karina; Korzybski, Damian; Podgajny, Zbigniew; Błasińska‐Przerwa, Katarzyna; Szołkowska, Małgorzata; Bestry, Iwona

doi:10.5603/arm.2019.0018

Cited by 8 publications

(7 citation statements)

References 7 publications

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“…Although cavities are commonly seen in lung cancer patients, accounting for 22% of all primary lung carcinomas (9), thin-walled cystic lung cancer has been rarely reported in the literature. Cavitary lung cancer is common in patients with squamous cell carcinoma (SCC) and is often seen in adenocarcinomas (10). Occasionally, it can be found in bronchioloalveolar carcinoma (BAC), while small-cell lung cancer has not been associated with cavitary lesions (10).…”

Section: Discussionmentioning

confidence: 99%

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The Multi-slice Spiral Computed Tomography (MSCT) Features of Thin-Walled Cystic Lung Cancer with Ground Glass Opacity

2021

Iran J Radiol

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Background: Lung cancer is the leading cause of cancer-related mortality worldwide. Thin-walled cystic lung cancer with ground glas s opacity (GGO) is a type of lung carcinoma with specific computed tomography (CT) features. Objectives: To investigate the imaging features of multi-slice spiral computed tomography (MSCT) of GGO and to improve the imaging diagnosis of this type of lung cancer. Patients and Methods: The clinical data of 24 patients with pathologically confirmed thin-walled cystic lung cancer with GGO were retrospectively analyzed in this study. The imaging features of preoperative MSCT, including vascular convergence, burr signs, pleural depression signs, lobulation signs, thickness and uniformity of the cavity wall, partitive membranes, and position of the ground-glass cavity, were examined. The relationship between the imaging features and postoperative pathological findings of lung carcinoma were also explored. Results: Most of the lesions (75.0%) were located in the upper lobe of the lungs. The size range of the cavity was 5.8 - 28.1 mm, with a mean of 13.6 ± 7.2 mm. Fifteen patients (62.5%) had a cavity wall thickness < 2 mm, 6 (25.0%) patients had a cavity wall thickness in the range of 2 - 3 mm, and 3 (12.5%) patients had a cavity wall thickness of about 3 - 4 mm. A uniform cavity wall was found in 10 (41.7%) cases, while a non-uniform cavity wall was observed in 14 (58.3%) cases. Eleven patients showed pure GGO (45.8%), while 13 patients showed mixed GGO (54.2%). Besides, nine patients (37.5%) showed lobular signs, 12 (50.0%) patients showed spicule signs, and 6 (28.6%) patients showed vascular convergence signs. Twelve patients (50.0%) had signs of pleural indentation, while 14 (66.7%) patients showed thick or thin small blood vessel opacity or fine partitive membranes. Twenty-three patients were diagnosed with lung adenocarcinoma, while one patients was diagnosed with mixed adenosquamous carcinoma. Conclusion: Thin-walled cystic lung cancer with GGO is a rare clinical phenomenon. The imaging features of this type of lung cancer on MSCT are consistent with the characteristics of lung cancers.

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Section: Discussionmentioning

confidence: 99%

“…Cavitary lung cancer is common in patients with squamous cell carcinoma (SCC) and is often seen in adenocarcinomas (10). Occasionally, it can be found in bronchioloalveolar carcinoma (BAC), while small-cell lung cancer has not been associated with cavitary lesions (10).…”

Section: Discussionmentioning

confidence: 99%

The Multi-slice Spiral Computed Tomography (MSCT) Features of Thin-Walled Cystic Lung Cancer with Ground Glass Opacity

2021

Iran J Radiol

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“…As LCCA has an overall low prevalence, it is easy for radiologists and respiratory doctors to miss it [ 8 ]. Patients with LCCA tend to have a worse prognosis than those with non-cystic airspaces lung cancer.…”

Section: Discussionmentioning

confidence: 99%

Solitary multicystic lesion lung cancer: two case reports and review of the literature

et al. 2021

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Background Lung cancer associated with cystic airspaces, especially solitary multicystic lesion lung cancer, is a rare disease (a rare imaging performance of non-small cell lung cancer). It is difficult to diagnose owing to the lack of a clear definition; therefore, diagnosis of these neoplastic lesions remains challenging. Case presentation We outlined two cases of elderly Chinese men who were admitted to the hospital with a solitary multicystic lesion of the lung and subsequent surgical resection, confirming a diagnosis of adenocarcinoma. Conclusions For solitary pulmonary cystic airspaces (especially solitary multicystic lung lesions), it is important to properly recognise their imaging features. Due to the possibility of malignancies, timely surgery is an effective treatment strategy for early diagnosis.

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“…Nodular opacities in the course of M. szulgai infection occur less frequently; nevertheless, both forms can be suspected for malignancy [ 12 ]. Opoka et al reported a rare case of squamous lung cancer manifested by thickening wall of cavity, which was previously stable during a two year follow-up period [ 14 ]. In our case, coexistence of NTM infection and breast cancer lung metastasis as well as primary lung cancer had been suspected.…”

Section: Discussionmentioning

confidence: 99%

Mycobacterium szulgai Lung Disease or Breast Cancer Relapse—Case Report

Kempisty¹,

Augustynowicz–Kopeć²,

Opoka³

et al. 2020

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Cancers are one of the risk factors of non-tuberculous mycobacterial (NTM) lung disease. The majority of data in this group of patients concern infections caused by Mycobacterium avium—the most prevalent NTM species worldwide. In contrast, limited information can be found regarding the uncommon NTM such as Mycobacterium szulgai. We present the case of M. szulgai lung disease in a patient with a history of breast cancer. Coexistence of NTM lung disease and breast cancer lung metastasis as well as primary lung cancer was suspected. Finally, neoplastic disease was ruled out based on negative results of endobronchial biopsy and negative tumor markers for lung and breast cancer. M. szulgai lung disease was successfully treated with rifampicin, ethambutol and clarithromycin.

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CT Imaging Features of Thin-Walled Cavitary Squamous Cell Lung Cancer

Cited by 8 publications

References 7 publications

The Multi-slice Spiral Computed Tomography (MSCT) Features of Thin-Walled Cystic Lung Cancer with Ground Glass Opacity

The Multi-slice Spiral Computed Tomography (MSCT) Features of Thin-Walled Cystic Lung Cancer with Ground Glass Opacity

Solitary multicystic lesion lung cancer: two case reports and review of the literature

Mycobacterium szulgai Lung Disease or Breast Cancer Relapse—Case Report

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