Metastasis in the subcarinal lymph node with unknown primary tumor.

Abstract:

:A 59-year-old man with previous anaplastic large cell T-cell lymphoma stage 3A was admitted with an isolated positron emission tomography(PET)-positive spot in a subcarinal lymph node. Diagnosis was achieved with endobronchial ultrasound-guided fine-needle aspiration demonstrating a well-differentiated squamous cell carcinoma but no primary tumor was visible on PET-computed tomography. Because of his previous lymphoma the patient was scheduled for mediastinoscopy where the diagnosis was confirmed. Subsequent gastroscopy was normal and a right-sided thoracotomy showed no evidence of cancer elsewhere, only an inoperable metastasis in a subcarinal lymph node which infiltrated the trachea, esophagus and aorta. Such isolated squamous cell carcinoma in a subcarinal lymph node without a primary tumor despite invasive work-up has not been reported before.

journal_name

Thorac Cancer

journal_title

Thoracic cancer

authors

Eckardt J,Olsen KE,Petersen H

doi

10.1111/j.1759-7714.2010.00039.x

subject

Has Abstract

pub_date

2011-05-01 00:00:00

pages

69-70

issue

2

eissn

1759-7706

issn

1759-7714

journal_volume

2

pub_type

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    pub_type:

    doi:10.1111/1759-7714.13036

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    doi:10.1111/1759-7714.12638

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