Cancers which metastasize to lung




















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They are usually of variable size, a feature which is of some use in distinguishing them from a granuloma 3. A prominent pulmonary vessel has frequently been noted heading into a metastasis.

This has been termed the feeding vessel sign 4. It is unclear whether this is a true finding or the result of older scanners with thicker slices resulting in volume averaging 4. However, a number of atypical features are commonly encountered. Some tumors have a predilection for innumerable small metastases miliary pattern :.

Conversely, a pulmonary metastasis may be single. This is most frequently seen in colorectal carcinoma. Other primaries which often present with solitary metastases include 3 :. Adenocarcinoma metastases, rather than displace or destroy adjacent lung parenchyma, may grow in a lepidic fashion spread along alveolar walls resulting in pneumonia-like consolidation.

Air bronchograms may also be visible 1. The most common primary is squamous cell carcinoma, most often from the head and neck or from the lung. Other primaries include adenocarcinomas, and sarcomas 1,3.

Calcification, although uncommon and more frequently a feature of benign etiology e. Treated metastases, osteosarcomas and chondrosarcomas may also contain calcified densities 1. A halo of ground-glass opacity representing hemorrhage can be seen, particularly surrounding hemorrhagic pulmonary metastases , such as choriocarcinoma and angiosarcoma 1. Although not used routinely, MRI may be as sensitive in the detection of pulmonary metastases as CT 2,4.

In general presence of pulmonary metastases is an ominous finding, indicating poor prognosis. The specific prognosis will, however, depend on the primary tumor. Tumors with prominent necrosis located near a pleural surface may result in a pneumothorax. Osteosarcoma is classically described as the pulmonary metastasis that results in pneumothorax. Another cause of pneumothoraces includes cystic or cavitary pulmonary metastases.

Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Updating… Please wait. Unable to process the form. Check for errors and try again. Thank you for updating your details. Log In. A lung metastasis is a cancerous growth in the lung that got its start from cancer cells originating somewhere else in the body. A lung metastasis is present in nearly one out of every three cancer patients whose illness proves fatal.

The lungs are sensitive, soft-tissue organs that are central to many essential functions of the body. But this connection with many other systems also leaves the lungs vulnerable to illness from nearly everywhere else in the body. So when cancer develops in another system or organ in the body, the chances are great that it eventually will find its way to the lungs. In fact, often the discovery of a lung metastasis is the first indication that the patient has cancer, and it prompts a search for the primary cancer in the body.

Cancer usually travels to the lungs via the bloodstream. A lung metastasis produces symptoms similar to those of other serious lung or chest ailments. They include:.



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