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Prostatic Cancer Presenting as an Isolated Large Lung Mass

  • No, Hee-Sun (Department of Internal Medicine, Korea Cancer Center Hospital) ;
  • Lee, Jong-Hwan (Department of Internal Medicine, Korea Cancer Center Hospital) ;
  • Ahn, Young (Department of Internal Medicine, Korea Cancer Center Hospital) ;
  • Na, Im-Il (Department of Internal Medicine, Korea Cancer Center Hospital) ;
  • Kim, Hye-Ryoun (Department of Internal Medicine, Korea Cancer Center Hospital) ;
  • Kim, Cheol-Hyeon (Department of Internal Medicine, Korea Cancer Center Hospital) ;
  • Koh, Jae-Soo (Department of Pathology, Korea Cancer Center Hospital) ;
  • Lee, Jae-Cheol (Department of Internal Medicine, Korea Cancer Center Hospital)
  • Received : 2009.12.14
  • Accepted : 2009.12.30
  • Published : 2010.05.30

Abstract

A hidden primary tumor presenting as an isolated lung mass is a diagnostic challenge to physicians because the diagnosis of lung cancer is likely to be made if the histologic findings are not inconsistent with lung cancer. A large lung mass was found incidentally in a 59-year-old man. Although adenocarcinoma was diagnosed by percutaneous needle biopsy, thyroid transcription factor-1 (TTF-1) immunostaining was negative, raising suspicion that there was another primary site. There was no abnormal finding except for the lung mass on a $^{18}FDG$-PET/CT scan and the patient did not complain of any discomfort. Finally, prostatic cancer was confirmed through the study of tumor markers and prostate-specific antigen (PSA) immunostaining. Because of the rare presentation of a single lung mass in malignancies that have another primary site, physicians should carefully review all data before making a final diagnosis of lung cancer.

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