Multiple cystic pulmonary metastases of pancreas cancer masquerading as pulmonary Langerhans cell histiocytosis: a case report
A. Kh. Balkarov,
N. S. Zagudaeva,
K. V. Prusakova,
V. A. Kushnarev,
N. V. Boyko,
P. S. Kalinin,
A. V. Mishchenko https://doi.org/10.24835/1607-0763-1168
Abstract
Aim of the study: to evaluate the possibilities of differential diagnosis of cystic metastases of pancreatic cancer in the lungs and pulmonary Langerhans cell histiocytosis (PLCH)
Materials and methods. Multiple cysts were visualized in the patient's lungs, which had thin and thick walls. We visualized in the patient's lung several small nodes with random distribution. These changes were located mainly in the upper and middle sections of the lungs, with the presence of several cysts and nodes near the costal-diaphragmatic angles. The differential diagnosis is formed from metastatic lung disease and pulmonary Langerhans cell histiocytosis. Morphological verification of changes in the lungs confirmed metastatic lung disease.
Conclusion. A careful assessment of the thickness of the walls of cysts and the type of location of nodes in the patient's lungs made it possible to diagnose metastatic lung disease according to CT scans.
About the Authors
A. Kh. Balkarov
N.N. Petrov National Medical Research Center of Oncology
Russian Federation
Russian Federation
Alim Kh. Balkarov – radiologist at the Department of Radiology
68, Leningradskaya str., Pesochny, St. Petersburg 197758
N. S. Zagudaeva
L.D. Roman Leninrad Regional Oncology Dispensary
Russian Federation
Russian Federation
Nina S. Zagudaeva – resident radiology department
37-39, Liteiniy prosp., St. Petersburg 191014
K. V. Prusakova
L.D. Roman Leninrad Regional Oncology Dispensary
Russian Federation
Russian Federation
Ksenia V. Prusakova – resident radiology department
37-39, Liteiniy prosp., St. Petersburg 191014
V. A. Kushnarev
N.N. Petrov National Medical Research Center of Oncology
Russian Federation
Russian Federation
Vladimir A. Kushnarev – pathologist at the department of pathology
68, Leningradskaya str., Pesochny, St. Petersburg 197758
N. V. Boyko
N.N. Petrov National Medical Research Center of Oncology
Russian Federation
Russian Federation
Natalia V. Boyko – radiologist at the Department of Radiology
68, Leningradskaya str., Pesochny, St. Petersburg 197758
P. S. Kalinin
L.D. Roman Leninrad Regional Oncology Dispensary
Russian Federation
Russian Federation
Petr S. Kalinin – Cand. of Sci. (Med.), Head of the radiology department
37-39, Liteiniy prosp., St. Petersburg 191014
A. V. Mishchenko
Moscow City Clinical Oncology Hospital №1
Russian Federation
Russian Federation
Andrei V. Mishchenko – Doct. of Sci. (Med.), deputy Chief Physician
18A, Zagorodnoe shosse, Moscow 117152
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Review
For citations:
Balkarov A.Kh., Zagudaeva N.S., Prusakova K.V., Kushnarev V.A., Boyko N.V., Kalinin P.S., Mishchenko A.V. Multiple cystic pulmonary metastases of pancreas cancer masquerading as pulmonary Langerhans cell histiocytosis: a case report. Medical Visualization. 2022;26(4):75-81. (In Russ.) https://doi.org/10.24835/1607-0763-1168
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