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[Tumor and pulmonary cysts - Lice, fleas or both?]

M Simon1, R Hörster, K Dalhoff

  • 1Klinik für Radiologie und Nuklearmedizin, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland. martin.simon@uksh.de

Der Radiologe
|May 24, 2012
PubMed

Insights

A 60-year-old diabetic patient presented with respiratory symptoms and was diagnosed with pulmonary adenocarcinoma. Imaging revealed widespread cystic lesions, identified as metastases, not primary lung disease.

Area of Science:

  • Oncology
  • Pulmonology
  • Radiology

Background:

  • Presents a challenging case of a 60-year-old female with insulin-dependent diabetes mellitus.
  • Patient exhibited symptoms including coughing, chest pain, and low-grade fever.

Observation:

  • Physical examination revealed bilateral vesicular breath sounds.
  • Laboratory tests indicated slightly elevated infection parameters.

Findings:

  • Diagnostic imaging, including chest X-ray and contrast-enhanced CT, identified pulmonary adenocarcinoma.
  • Widespread bilateral pulmonary cystic lesions were observed, interpreted as cystic metastases.

Implications:

  • Distinguishing cystic metastases from primary cystic lung disease is crucial in oncology.
  • This case highlights the importance of comprehensive diagnostic work-up in complex presentations.

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