229Lu Squamous Cell Carcinoma s/p Cryoablation

  • 59 yo F who is a
    • 1 PPD smoker with a
    • PMH of breast cancer s/p resection and XRT (14years ago), COPD, CKD3, T2DM, HTN,HLD,

 

1 Year Ago

1 Year Ago  – Normal 
CT scan 1 year prior was normal in the region of the cancer subsequently identified
Ashley Davidoff MD TheCommonVein.net

 

Current Peripheral Parenchymal infiltrate Along the Bronchovascular Bundle

CT scan 1 year later shows a subsegmental peripheral infiltrate in the lateral segment of the middle lobe which is almost wedge shaped.  Biopsy confirmed  the presence of a squamous cell carcinoma.
Ashley Davidoff MD TheCommonVein.net

  • newly found 2.4 cm
    •  pleural based RML lung nodule
Peripheral Parenchymal infiltrate Along the Bronchovascular Bundle
CT scan 1 year later shows a subsegmental peripheral infiltrate in the lateral segment of the middle lobe which is almost wedge shaped.  Biopsy confirmed  the presence of a squamous cell carcinoma.
Ashley Davidoff MD TheCommonVein.net

PET Scan Positive

PET Scan Positive
PET Positive Peripheral Parenchymal infiltrate in the lung
Biopsy confirmed  the presence of a squamous cell carcinoma.
Ashley Davidoff MD TheCommonVein.net

 

1 Month Later Pre cryoablation

1 Month Later Pre Biopsy and Cryoablation
CT scan prior to biopsy and cryoablation shows a more  rotund and mass like lesion in the middle lobe of the lung, indicating growth 
Biopsy confirmed  the presence of a squamous cell carcinoma of the lung.
Ashley Davidoff MD TheCommonVein.net

Biopsy and Cryoablation

Biopsy and Cryoablation
CT guided biopsy and cryoablation shows the needle in good position for biopsy and ablation
Biopsy confirmed  the presence of a squamous cell carcinoma of the lung.
Ashley Davidoff MD TheCommonVein.net

Post Cryoablation with Contusion and Pneumothorax

Post Cryoablation with Contusion and Pneumothorax
Following  biopsy and cryoablation a contusion is noted in the lung associated with a small pneumothorax
Biopsy of the lung confirmed  the presence of a squamous cell carcinoma.
Ashley Davidoff MD TheCommonVein.net

1 Month Post Follow Up Necrotic Tumor with Liquefaction

1 Month Post Cryoablation with Contusion and Pneumothorax
The previously identified nodular lesion shows air bubbles indicating necrosis The denser component measured water density.  No soft tissue component was identified. 
Biopsy of the lung lesion confirmed  the presence of a squamous cell carcinoma.
Ashley Davidoff MD TheCommonVein.net