A Case of Cavitary Lung Metastasis From Prostate Cancer

ABSTRACT A 79‐year‐old man was found to have multiple nodules in the lung fields on chest computed tomography. Metastatic lung cancer was suspected; however, the primary site remained elusive. After 1 year of follow‐up, both the nodules had enlarged. After 2 years, one of the nodules continued to en...

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Main Authors: Shinnosuke Ohnaka, Mayumi Aoyama, Rino Arai, Saya Hattori, Yusuke Kubo, Shugo Suzuki, Toshihiro Yoshimura, Akinori Ebihara, Toshiaki Morikawa, Hidenobu Shigemitsu, Ichiro Kuwahira
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Respirology Case Reports
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Online Access:https://doi.org/10.1002/rcr2.70101
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author Shinnosuke Ohnaka
Mayumi Aoyama
Rino Arai
Saya Hattori
Yusuke Kubo
Shugo Suzuki
Toshihiro Yoshimura
Akinori Ebihara
Toshiaki Morikawa
Hidenobu Shigemitsu
Ichiro Kuwahira
author_facet Shinnosuke Ohnaka
Mayumi Aoyama
Rino Arai
Saya Hattori
Yusuke Kubo
Shugo Suzuki
Toshihiro Yoshimura
Akinori Ebihara
Toshiaki Morikawa
Hidenobu Shigemitsu
Ichiro Kuwahira
author_sort Shinnosuke Ohnaka
collection DOAJ
description ABSTRACT A 79‐year‐old man was found to have multiple nodules in the lung fields on chest computed tomography. Metastatic lung cancer was suspected; however, the primary site remained elusive. After 1 year of follow‐up, both the nodules had enlarged. After 2 years, one of the nodules continued to enlarge; however, the other nodule cavitated and decreased in size. Concomitantly, the previously observed fluorodeoxyglucose uptake in the cavitated nodules disappeared. A comprehensive search for the primary cancer included a thoracoscopic lung biopsy which revealed that these nodules were metastatic lung lesions from prostate cancer. Pathological examination revealed necrosis within these metastatic lesions. To date, only three case reports of cavitary lung metastases from prostate cancer have been published; however, no explanation has been provided for the pathological mechanism of cavitation. To our knowledge, this is the first case to provide a potential explanation for cavitation in metastatic lung lesions from prostate cancer.
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issn 2051-3380
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publishDate 2025-01-01
publisher Wiley
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series Respirology Case Reports
spelling doaj-art-81783184d78044e8a4de8c0b947daaf92025-01-27T09:16:54ZengWileyRespirology Case Reports2051-33802025-01-01131n/an/a10.1002/rcr2.70101A Case of Cavitary Lung Metastasis From Prostate CancerShinnosuke Ohnaka0Mayumi Aoyama1Rino Arai2Saya Hattori3Yusuke Kubo4Shugo Suzuki5Toshihiro Yoshimura6Akinori Ebihara7Toshiaki Morikawa8Hidenobu Shigemitsu9Ichiro Kuwahira10Respiratory Disease Center Tokyo General Hospital Tokyo JapanRespiratory Disease Center Tokyo General Hospital Tokyo JapanRespiratory Disease Center Tokyo General Hospital Tokyo JapanRespiratory Disease Center Tokyo General Hospital Tokyo JapanRespiratory Disease Center Tokyo General Hospital Tokyo JapanDepartment of Urology Tokyo General Hospital Tokyo JapanDepartment of Urology Tokyo General Hospital Tokyo JapanDepartment of Pulmonary Medicine Tokai University Tokyo Hospital Tokyo JapanDepartment of Chest Surgery Tokyo General Hospital Tokyo JapanDepartment of Critical Care Medicine St. Rose Dominican Siena Hospital Las Vegas Nevada USARespiratory Disease Center Tokyo General Hospital Tokyo JapanABSTRACT A 79‐year‐old man was found to have multiple nodules in the lung fields on chest computed tomography. Metastatic lung cancer was suspected; however, the primary site remained elusive. After 1 year of follow‐up, both the nodules had enlarged. After 2 years, one of the nodules continued to enlarge; however, the other nodule cavitated and decreased in size. Concomitantly, the previously observed fluorodeoxyglucose uptake in the cavitated nodules disappeared. A comprehensive search for the primary cancer included a thoracoscopic lung biopsy which revealed that these nodules were metastatic lung lesions from prostate cancer. Pathological examination revealed necrosis within these metastatic lesions. To date, only three case reports of cavitary lung metastases from prostate cancer have been published; however, no explanation has been provided for the pathological mechanism of cavitation. To our knowledge, this is the first case to provide a potential explanation for cavitation in metastatic lung lesions from prostate cancer.https://doi.org/10.1002/rcr2.70101cavitary lung metastasisFDG‐PETnecrosisprostate cancerthoracoscopy
spellingShingle Shinnosuke Ohnaka
Mayumi Aoyama
Rino Arai
Saya Hattori
Yusuke Kubo
Shugo Suzuki
Toshihiro Yoshimura
Akinori Ebihara
Toshiaki Morikawa
Hidenobu Shigemitsu
Ichiro Kuwahira
A Case of Cavitary Lung Metastasis From Prostate Cancer
Respirology Case Reports
cavitary lung metastasis
FDG‐PET
necrosis
prostate cancer
thoracoscopy
title A Case of Cavitary Lung Metastasis From Prostate Cancer
title_full A Case of Cavitary Lung Metastasis From Prostate Cancer
title_fullStr A Case of Cavitary Lung Metastasis From Prostate Cancer
title_full_unstemmed A Case of Cavitary Lung Metastasis From Prostate Cancer
title_short A Case of Cavitary Lung Metastasis From Prostate Cancer
title_sort case of cavitary lung metastasis from prostate cancer
topic cavitary lung metastasis
FDG‐PET
necrosis
prostate cancer
thoracoscopy
url https://doi.org/10.1002/rcr2.70101
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