Unsuspected endobronchial tumor detected by PET/CT: A patient with 3 synchronous squamous cell cancers

Joji Varghese, Peeyush Bhargava, Aaron Baxter

Research output: Contribution to journalArticle

Abstract

We present the PET/CT images of a 64-year-old man who presented with an exophytic lesion on the right foot fourth interdigital web space. Punch biopsy revealed squamous cell carcinoma (SCC). A staging CT scan showed an epiglottic mass, which on subsequent biopsy revealed a second SCC. Whole body PET/CT showed focal hypermetabolism in the epiglottis and focal hypermetabolism in a 5-mm endobronchial soft tissue density at the trifurcation of the basal trunk of the left lower lobe bronchus. Endoscopic biopsy showed poorly differentiated SCC and led to the management of 3 synchronous primary SCCs. The patient underwent a left lower lobectomy for Stage I squamous cell lung cancer, followed by external beam radiation for Stage Ia SCC of the epiglottis, and finally amputation of the fourth and fifth toes of the right foot.

Original languageEnglish (US)
Pages (from-to)610-611
Number of pages2
JournalClinical Nuclear Medicine
Volume35
Issue number8
DOIs
StatePublished - Jan 1 2010
Externally publishedYes

Keywords

  • PET/CT
  • squamous cell cancer
  • synchronous malignancy

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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