Atypical dissemination of lung cancer to the adrenal gland and to the spleen

M, Chorazy; Majcher, Marta; Fedyszyn-Urbanowicz, Katarzyna; Bierzyńska-Macyszyn, G; Kwiatkowski, Robert

doi:10.5114/wo.2012.31777

Cited by 2 publications

(7 citation statements)

References 17 publications

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“…But our experience with the ultrasound-guided fine-needle biopsy of a spleen showed that, if performed under ultrasound guidance with appropriate blood clotting parameters, splenic biopsy in the evaluation of new or recurrent neoplasm is a minimally invasive procedure with low complication rates and a high diagnostic yield. The safety of spleen biopsy was confirmed by others authors as well [17][18][19][20].…”

Section: Methodssupporting

confidence: 65%

“…[4][5][6]. In 1 case the tumor spread into the spleen as well as into the left adrenal gland and this case was published already separately [20]. The biopsy had to be done twice in 2 cases in order to obtain clear histopathological results.…”

Section: Methodsmentioning

confidence: 99%

“…Having vast experience in performing biopsies [20][21][22][23], we decided to take biopsies of metastatic deposits located in the spleen. These deposits were identified on routine computer tomography (CT) scans in patients diagnosed with lung cancer.…”

Section: Introductionmentioning

confidence: 99%

“…In the medical literature, fine needle biopsy performed under ultrasound (US) guidance is considered to be the method of choice in obtaining histopathological diagnosis in splenic tumor [16][17][18][19][20].…”

Section: Introductionmentioning

confidence: 99%

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Multi-Year Observation of Lung Cancer Metastases to the Spleen

M¹,

Majcher²,

Urbanowicz³

et al. 2013

JMSE-B

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Abstract:The purpose of our study was to show if there is any correlation between the location of the primary cancer site in the lungs, and the appearance of metastases in the spleen. 1,998 patients with confirmed lung cancer were analyzed. In 22 out of 22 cases, splenic lesions were detected by both, computer tomography (CT) and ultrasound (US) in all 22 of them. All patients with splenic lesions detected by the US underwent US-guided biopsy. Among these patients, metastases to the spleen were histopathologically confirmed in all 22 cases. 18 metastases in the spleen originated from left lung tumors, 3 from right lung tumor. In the 1 case remaining, a pattern of benign lesion was confirmed. The authors came to the conclusion that lung cancer metastases detected in the spleen originate mainly from the left lung cancer which can be caused by higher blood flow to the left lung as compared to the right lung.

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Section: Methodssupporting

confidence: 65%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Multi-Year Observation of Lung Cancer Metastases to the Spleen

M¹,

Majcher²,

Urbanowicz³

et al. 2013

JMSE-B

View full text Add to dashboard Cite

show abstract

“…Having vast experience in performing biopsies, the authors decided to take biopsies of metastatic deposits located in the adrenal glands [12][13][14][15][16]. These deposits were identified on routine computer tomography (CT) scans in patients diagnosed with lung cancer.…”

Section: Introductionmentioning

confidence: 99%

Multi-Year Observation of Lung Cancer Metastases to the Adrenal Glands

M¹,

Majcher²,

Urbanowicz³

et al. 2013

JMSE-B

View full text Add to dashboard Cite

Abstract:The purpose of our study was to show if there is any correlation between the location of the primary cancer site in the lungs and the appearance of metastases in the adrenal gland. 2,340 patients with confirmed lung cancer were analyzed. The study group of 2,340 patients was divided into two subgroups: 1,998 patients were diagnosed with lung cancer located only in one lung, and 342 with disseminated lung cancer. Among the group of 1,998 patients, in 218 cases, pathological lesions in the adrenal glands were detected using computer tomography (CT) or magnetic resonance (MR). In 161 out of 218 cases, suprarenal lesions were detected by ultrasound (US). All patients with suprarenal lesions detected by US (161 cases in total ) underwent US-guided biopsy. Among these patients, metastases to the adrenal glands were histopathologically confirmed in 91 cases. In 70 cases, the histopathological reporting confirmed benign lesions. Altogether there were 64 adrenal metastases originated from the left lung cancer and 32 metastases from the right lung cancer. In 342 patients with disseminated cancer, four of them had confirmed metastases in both adrenal glands; seven patients had a metastatic lesion in the left and three in the right adrenal gland. Among this group, metastases to other organs such as the liver, bones, central nervous system and mediastinal lymph nodes were also detected. The authors came to the conclusion that the higher occurrence rate of adrenal metastases from the left lung carcinoma as compared to the right lung carcinoma is associated with higher blood flow in the left lung.

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Atypical dissemination of lung cancer to the adrenal gland and to the spleen

Cited by 2 publications

References 17 publications

Multi-Year Observation of Lung Cancer Metastases to the Spleen

Multi-Year Observation of Lung Cancer Metastases to the Spleen

Multi-Year Observation of Lung Cancer Metastases to the Adrenal Glands

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