Discover how a rare presentation of endobronchial squamous cell carcinoma, manifesting as an unusual continuous bronchial thickening, is shedding new light on cancer diagnostics through the lens of advanced 18Fluorodeoxyglucose PET/CT imaging.
– by The Don
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Endobronchial Squamous Cell Carcinoma Presenting as Long Continuous Bronchial Thickening on 18Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography.
Verma et al., Indian J Nucl Med 2023
DOI: 10.4103/ijnm.ijnm_19_23
Listen folks, we’ve got a case here, a real case. A 67-year-old man, okay? He’s been dealing with chest pain, a lot of pain, and a cough that’s not quitting, not for a year and a half. They did an X-ray, a great X-ray, and it showed something, something called a Koch’s lesion, right in the upper lobe. And the sputum test? It came back positive for mycobacterium tuberculosis – that’s tuberculosis, TB, a tough one.
Now, he started treatment, antitubercular treatment, and it was good, it helped a bit, but not enough, not nearly enough. His symptoms, they got worse, much worse. So, they did more tests, a CT scan of the thorax, and they found something else, an endobronchial lesion, right there in the upper lobe bronchus. And then, the bronchoscopy, it showed a mass, a big mass in the right main bronchus. The biopsy? It said moderately differentiated squamous cell carcinoma (SCC) – that’s cancer, a serious cancer.
They didn’t stop there, they did a 18Fluoro-deoxy-glucose positron emission tomography/CT, a PET/CT, for staging. And let me tell you, there could be a chance, a real chance of tuberculosis with SCC, both of them, together. It’s something, really something.