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[Occult mediastinal node involvement in non-small cell lung cancer after negative uptake on PET/CT: ripples through staging and therapy. Case report and critical review].

Abstract
A 78-years old man, heavy smoker, with a persistent and hacking cough, was diagnosed with an adenocarcinoma of upper lobe of left lung. Clinical stage was defined as cT2N0M0 also on the basis of a negative (18)FDG-PET/TC. After lobectomy, pathological stage resulted, on the contrary, pT2N2M0. Because the considerable incidence of preoperative false negative uptakes of PET/TC for involvement of mediastinal lymph nodes, this case report is highlighted as emblematic, particularly in relation to post-operative treatment of early stage NSCLC.
AuthorsL Trodella, F Salvati, M Martelli, P Mattia, P Graziano, E Ippolito
JournalLa Clinica terapeutica (Clin Ter) Vol. 162 Issue 6 Pg. 559-61 ( 2011) ISSN: 1972-6007 [Electronic] Italy
Vernacular TitleLinfonodi mediastinici “occulti” nel NCCLC: ripercussioni della falsa negatività PET/TC sulla stadiazione e sulla terapia. Caso clinico e rassegna critica.
PMID22262330 (Publication Type: Case Reports, Journal Article, Review)
Topics
  • Aged
  • Carcinoma, Non-Small-Cell Lung (diagnostic imaging, pathology, secondary, therapy)
  • False Negative Reactions
  • Humans
  • Lung Neoplasms (diagnostic imaging, pathology, therapy)
  • Lymphatic Metastasis
  • Male
  • Mediastinum
  • Multimodal Imaging
  • Neoplasm Staging
  • Positron-Emission Tomography
  • Tomography, X-Ray Computed

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