Brain Metastasis Mimicking Brain Abscess in ALK-Positive Non-Small-Cell Lung Cancer
Brain metastasis frequently develops in non-small-cell lung cancer (NSCLC). Here, we report a patient who developed brain metastasis from ALK-positive NSCLC which mimicked brain abscess. He was admitted for suspected obstructive pneumonia nine months after curative lung resection. Head magnetic reso...
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| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Oncological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2019/9141870 |
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| _version_ | 1832555351040327680 |
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| author | Toshio Sakatani Hidenori Kage Shunsaku Takayanagi Kaoru Watanabe Yoshihisa Hiraishi Aya Shinozaki-Ushiku Shota Tanaka Tetsuo Ushiku Nobuhito Saito Takahide Nagase |
| author_facet | Toshio Sakatani Hidenori Kage Shunsaku Takayanagi Kaoru Watanabe Yoshihisa Hiraishi Aya Shinozaki-Ushiku Shota Tanaka Tetsuo Ushiku Nobuhito Saito Takahide Nagase |
| author_sort | Toshio Sakatani |
| collection | DOAJ |
| description | Brain metastasis frequently develops in non-small-cell lung cancer (NSCLC). Here, we report a patient who developed brain metastasis from ALK-positive NSCLC which mimicked brain abscess. He was admitted for suspected obstructive pneumonia nine months after curative lung resection. Head magnetic resonance imaging revealed a cavitary lesion, which was compatible with brain abscess but rare in brain metastasis. However, after treatment with antibiotics, the brain lesion increased in size. Aspiration of the liquid content of the brain lesion revealed cancer cells. When a brain lesion suggestive of abscess develops in a patient with ALK-positive NSCLC, aspiration may be necessary to differentiate metastasis from abscess. |
| format | Article |
| id | doaj-art-a6e0f4a5ac274432af7dc3d6a3d56e5a |
| institution | Kabale University |
| issn | 2090-6706 2090-6714 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Oncological Medicine |
| spelling | doaj-art-a6e0f4a5ac274432af7dc3d6a3d56e5a2025-02-03T05:48:27ZengWileyCase Reports in Oncological Medicine2090-67062090-67142019-01-01201910.1155/2019/91418709141870Brain Metastasis Mimicking Brain Abscess in ALK-Positive Non-Small-Cell Lung CancerToshio Sakatani0Hidenori Kage1Shunsaku Takayanagi2Kaoru Watanabe3Yoshihisa Hiraishi4Aya Shinozaki-Ushiku5Shota Tanaka6Tetsuo Ushiku7Nobuhito Saito8Takahide Nagase9Department of Respiratory Medicine, Graduate School of Medicine, University of Tokyo, Tokyo, JapanDepartment of Respiratory Medicine, Graduate School of Medicine, University of Tokyo, Tokyo, JapanDepartment of Neurosurgery, Graduate School of Medicine, University of Tokyo, Tokyo, JapanDepartment of Respiratory Medicine, Graduate School of Medicine, University of Tokyo, Tokyo, JapanDepartment of Respiratory Medicine, Graduate School of Medicine, University of Tokyo, Tokyo, JapanDepartment of Pathology, Graduate School of Medicine, University of Tokyo, Tokyo, JapanDepartment of Neurosurgery, Graduate School of Medicine, University of Tokyo, Tokyo, JapanDepartment of Pathology, Graduate School of Medicine, University of Tokyo, Tokyo, JapanDepartment of Neurosurgery, Graduate School of Medicine, University of Tokyo, Tokyo, JapanDepartment of Respiratory Medicine, Graduate School of Medicine, University of Tokyo, Tokyo, JapanBrain metastasis frequently develops in non-small-cell lung cancer (NSCLC). Here, we report a patient who developed brain metastasis from ALK-positive NSCLC which mimicked brain abscess. He was admitted for suspected obstructive pneumonia nine months after curative lung resection. Head magnetic resonance imaging revealed a cavitary lesion, which was compatible with brain abscess but rare in brain metastasis. However, after treatment with antibiotics, the brain lesion increased in size. Aspiration of the liquid content of the brain lesion revealed cancer cells. When a brain lesion suggestive of abscess develops in a patient with ALK-positive NSCLC, aspiration may be necessary to differentiate metastasis from abscess.http://dx.doi.org/10.1155/2019/9141870 |
| spellingShingle | Toshio Sakatani Hidenori Kage Shunsaku Takayanagi Kaoru Watanabe Yoshihisa Hiraishi Aya Shinozaki-Ushiku Shota Tanaka Tetsuo Ushiku Nobuhito Saito Takahide Nagase Brain Metastasis Mimicking Brain Abscess in ALK-Positive Non-Small-Cell Lung Cancer Case Reports in Oncological Medicine |
| title | Brain Metastasis Mimicking Brain Abscess in ALK-Positive Non-Small-Cell Lung Cancer |
| title_full | Brain Metastasis Mimicking Brain Abscess in ALK-Positive Non-Small-Cell Lung Cancer |
| title_fullStr | Brain Metastasis Mimicking Brain Abscess in ALK-Positive Non-Small-Cell Lung Cancer |
| title_full_unstemmed | Brain Metastasis Mimicking Brain Abscess in ALK-Positive Non-Small-Cell Lung Cancer |
| title_short | Brain Metastasis Mimicking Brain Abscess in ALK-Positive Non-Small-Cell Lung Cancer |
| title_sort | brain metastasis mimicking brain abscess in alk positive non small cell lung cancer |
| url | http://dx.doi.org/10.1155/2019/9141870 |
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