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Japanese Journal of Clinical Oncology 30:40-42 (2000)
© 2000 Foundation for Promotion of Cancer Research

Multiple Pulmonary Infarctions Associated with Lung Cancer

Hiroaki Nomori1, Hirotoshi Horio1, Shojiroh Morinaga2 and Keiichi Suemasu1,+

Departments of 1Thoracic Surgery and 2Pathology, Saiseikai Central Hospital, Tokyo, Japan

We present a case of right lung adenosquamous cell carcinoma that had obstructed the main pulmonary artery and superior pulmonary vein, causing multiple pulmonary infarctions in the right upper and middle lobes. Multiple peripheral pulmonary nodules showed clinical features that are characteristic of pulmonary infarction: rapid appearance and gradual reduction in size, pleural-based parenchymal density with a truncated apex and a round nodular shadow with a blurred margin and a centrally directed linear shadow. The nodules were more intense than the primary tumor in both T1- and T2-weighted magnetic resonance imaging (MRI). We conclude that pulmonary infarction can look like a nodule when lung cancer invades both the pulmonary artery and vein and that such cases can be distinguished from pulmonary metastasis by MRI, computed tomography and a series of radiological examinations.

+ For reprints and all correspondence: Hiroaki Nomori, Department of Thoracic Surgery, Saiseikai Central Hospital, 1–4–17 Mita, Minato-ku, Tokyo 108-0073, Japan


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