Remarkable Differences in Calcification between the Primary Tumor and Metastatic Lymph Nodes in a Patient with ALK-Positive Non-Small-Cell Lung Cancer

Calcified bilateral mediastinal lymph nodes are not common in malignant tumors. A 51-year-old woman presented to our hospital with a 20 mm nodule in the lower left lobe of the lung and extensive calcification in the bilateral mediastinal lymph nodes. Computed tomography indicated no calcification of...

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Main Authors: Keeya Sunata, Tetsuo Tani, Takahiko Ui, Hidehiro Irie, Yohei Funatsu, Hidefumi Koh
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Pulmonology
Online Access:http://dx.doi.org/10.1155/2022/1160000
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author Keeya Sunata
Tetsuo Tani
Takahiko Ui
Hidehiro Irie
Yohei Funatsu
Hidefumi Koh
author_facet Keeya Sunata
Tetsuo Tani
Takahiko Ui
Hidehiro Irie
Yohei Funatsu
Hidefumi Koh
author_sort Keeya Sunata
collection DOAJ
description Calcified bilateral mediastinal lymph nodes are not common in malignant tumors. A 51-year-old woman presented to our hospital with a 20 mm nodule in the lower left lobe of the lung and extensive calcification in the bilateral mediastinal lymph nodes. Computed tomography indicated no calcification of the primary lesion. Immunohistochemical staining and fluorescent in situ hybridization detected an anaplastic lymphoma kinase (ALK) fusion. Treatment with alectinib, an ALK inhibitor, led to a significant reduction in tumor size and calcification in the lymph nodes. This case shows that different degrees of calcification can be associated with malignant tumors and may be reversible in some cases.
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institution Kabale University
issn 2090-6854
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publishDate 2022-01-01
publisher Wiley
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series Case Reports in Pulmonology
spelling doaj-art-7a2849e02814410e97ee5f9a15e75bb62025-02-03T00:59:54ZengWileyCase Reports in Pulmonology2090-68542022-01-01202210.1155/2022/1160000Remarkable Differences in Calcification between the Primary Tumor and Metastatic Lymph Nodes in a Patient with ALK-Positive Non-Small-Cell Lung CancerKeeya Sunata0Tetsuo Tani1Takahiko Ui2Hidehiro Irie3Yohei Funatsu4Hidefumi Koh5Division of Pulmonary MedicineDivision of Pulmonary MedicineDivision of Pulmonary MedicineDivision of Pulmonary MedicineDivision of Pulmonary MedicineDivision of Pulmonary MedicineCalcified bilateral mediastinal lymph nodes are not common in malignant tumors. A 51-year-old woman presented to our hospital with a 20 mm nodule in the lower left lobe of the lung and extensive calcification in the bilateral mediastinal lymph nodes. Computed tomography indicated no calcification of the primary lesion. Immunohistochemical staining and fluorescent in situ hybridization detected an anaplastic lymphoma kinase (ALK) fusion. Treatment with alectinib, an ALK inhibitor, led to a significant reduction in tumor size and calcification in the lymph nodes. This case shows that different degrees of calcification can be associated with malignant tumors and may be reversible in some cases.http://dx.doi.org/10.1155/2022/1160000
spellingShingle Keeya Sunata
Tetsuo Tani
Takahiko Ui
Hidehiro Irie
Yohei Funatsu
Hidefumi Koh
Remarkable Differences in Calcification between the Primary Tumor and Metastatic Lymph Nodes in a Patient with ALK-Positive Non-Small-Cell Lung Cancer
Case Reports in Pulmonology
title Remarkable Differences in Calcification between the Primary Tumor and Metastatic Lymph Nodes in a Patient with ALK-Positive Non-Small-Cell Lung Cancer
title_full Remarkable Differences in Calcification between the Primary Tumor and Metastatic Lymph Nodes in a Patient with ALK-Positive Non-Small-Cell Lung Cancer
title_fullStr Remarkable Differences in Calcification between the Primary Tumor and Metastatic Lymph Nodes in a Patient with ALK-Positive Non-Small-Cell Lung Cancer
title_full_unstemmed Remarkable Differences in Calcification between the Primary Tumor and Metastatic Lymph Nodes in a Patient with ALK-Positive Non-Small-Cell Lung Cancer
title_short Remarkable Differences in Calcification between the Primary Tumor and Metastatic Lymph Nodes in a Patient with ALK-Positive Non-Small-Cell Lung Cancer
title_sort remarkable differences in calcification between the primary tumor and metastatic lymph nodes in a patient with alk positive non small cell lung cancer
url http://dx.doi.org/10.1155/2022/1160000
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