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Lung abscesses mimicking multiple pulmonary metastases

D M Runciman1, M C Shepherd, M N Gaze

  • 1Royal Hospital for Sick Children, Yorkhill, Glasgow, UK.

Clinical Oncology (Royal College of Radiologists (Great Britain))
|January 1, 1993
PubMed
Summary

Staphylococcal abscesses in the lungs were misdiagnosed as cancer metastases in five patients with Hickman catheters. This highlights the need to consider abscesses in cancer patients with chest abnormalities.

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Area of Science:

  • Medical Imaging
  • Oncology
  • Infectious Diseases

Background:

  • Hickman central venous catheters are common in cancer patients undergoing chemotherapy.
  • Radiological imaging is crucial for monitoring treatment response and detecting complications.

Observation:

  • Five patients receiving chemotherapy via Hickman catheters developed lung lesions.
  • These lesions were detected using chest radiography and computed tomography.

Findings:

  • The lung lesions were initially misdiagnosed as malignant metastases.
  • Histopathological examination confirmed the lesions to be staphylococcal abscesses.

Implications:

  • Misdiagnosis of lung abscesses as metastases can lead to inappropriate and potentially harmful treatment decisions.
  • Clinicians should include staphylococcal abscesses in the differential diagnosis for radiological chest abnormalities in immunocompromised patients, particularly those with central venous catheters.

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