A Case of Radiation Fibrosis Appearing as Mass-Like Consolidation after SBRT with Elevation of Serum CEA
We report a case of radiation fibrosis appearing as mass-like consolidation, which was difficult to distinguish from local recurrence. A 72-year-old woman was diagnosed as having primary lung cancer (cT1N0M0 stage IA) in the right upper lobe and was treated with SBRT of 48 Gy in 4 fractions. After 1...
Saved in:
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2010-01-01
|
| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2010/986706 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850218255715663872 |
|---|---|
| author | Kotaro Terashima Yoshiyuki Shioyama Satoshi Nomoto Saiji Ohga Takeshi Nonoshita Kayoko Ohnishi Kazushige Atsumi Hidetake Yabuuchi Hideki Hirata Hiroshi Honda |
| author_facet | Kotaro Terashima Yoshiyuki Shioyama Satoshi Nomoto Saiji Ohga Takeshi Nonoshita Kayoko Ohnishi Kazushige Atsumi Hidetake Yabuuchi Hideki Hirata Hiroshi Honda |
| author_sort | Kotaro Terashima |
| collection | DOAJ |
| description | We report a case of radiation fibrosis appearing as mass-like consolidation, which was difficult to distinguish from local recurrence. A 72-year-old woman was diagnosed as having primary lung cancer (cT1N0M0 stage IA) in the right upper lobe and was treated with SBRT of 48 Gy in 4 fractions. After 12 months, mass-like consolidation appeared around the irradiated area, and after 13 months, it had increased in size. FDG-PET revealed high uptake (SUV max=5.61) for the consolidation. CT-guided biopsy was performed, but we could not confirm the diagnosis. Considering her poor respiratory function and her age, short-interval follow-up was performed. After 15 months, the consolidation enlarged at the dorsal side, and carcinoembryonic antigen (CEA) became elevated (14.6 ng/mL). Serum KL-6 (436 U/mL) and SP-D (204 ng/mL) were also elevated. However, after 16 months, serum CEA slightly decreased. The consolidation gradually retracted on follow-up CT images. CEA, KL-6, and SP-D were also decreased by degrees. After 40 months, there is no evidence of local recurrence. |
| format | Article |
| id | doaj-art-3e0f5cb47e284607b68f0f4e4d1b0ed3 |
| institution | OA Journals |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-3e0f5cb47e284607b68f0f4e4d1b0ed32025-08-20T02:07:49ZengWileyCase Reports in Medicine1687-96271687-96352010-01-01201010.1155/2010/986706986706A Case of Radiation Fibrosis Appearing as Mass-Like Consolidation after SBRT with Elevation of Serum CEAKotaro Terashima0Yoshiyuki Shioyama1Satoshi Nomoto2Saiji Ohga3Takeshi Nonoshita4Kayoko Ohnishi5Kazushige Atsumi6Hidetake Yabuuchi7Hideki Hirata8Hiroshi Honda9Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, JapanDepartment of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, JapanDepartment of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, JapanDepartment of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, JapanDepartment of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, JapanDepartment of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, JapanDepartment of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, JapanDepartment of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, JapanDepartment of Radiation Technology, School of Health Sciences, Faculty of Medicine, Kyushu University, Fukuoka 812-8582, JapanDepartment of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, JapanWe report a case of radiation fibrosis appearing as mass-like consolidation, which was difficult to distinguish from local recurrence. A 72-year-old woman was diagnosed as having primary lung cancer (cT1N0M0 stage IA) in the right upper lobe and was treated with SBRT of 48 Gy in 4 fractions. After 12 months, mass-like consolidation appeared around the irradiated area, and after 13 months, it had increased in size. FDG-PET revealed high uptake (SUV max=5.61) for the consolidation. CT-guided biopsy was performed, but we could not confirm the diagnosis. Considering her poor respiratory function and her age, short-interval follow-up was performed. After 15 months, the consolidation enlarged at the dorsal side, and carcinoembryonic antigen (CEA) became elevated (14.6 ng/mL). Serum KL-6 (436 U/mL) and SP-D (204 ng/mL) were also elevated. However, after 16 months, serum CEA slightly decreased. The consolidation gradually retracted on follow-up CT images. CEA, KL-6, and SP-D were also decreased by degrees. After 40 months, there is no evidence of local recurrence.http://dx.doi.org/10.1155/2010/986706 |
| spellingShingle | Kotaro Terashima Yoshiyuki Shioyama Satoshi Nomoto Saiji Ohga Takeshi Nonoshita Kayoko Ohnishi Kazushige Atsumi Hidetake Yabuuchi Hideki Hirata Hiroshi Honda A Case of Radiation Fibrosis Appearing as Mass-Like Consolidation after SBRT with Elevation of Serum CEA Case Reports in Medicine |
| title | A Case of Radiation Fibrosis Appearing as Mass-Like Consolidation after SBRT with Elevation of Serum CEA |
| title_full | A Case of Radiation Fibrosis Appearing as Mass-Like Consolidation after SBRT with Elevation of Serum CEA |
| title_fullStr | A Case of Radiation Fibrosis Appearing as Mass-Like Consolidation after SBRT with Elevation of Serum CEA |
| title_full_unstemmed | A Case of Radiation Fibrosis Appearing as Mass-Like Consolidation after SBRT with Elevation of Serum CEA |
| title_short | A Case of Radiation Fibrosis Appearing as Mass-Like Consolidation after SBRT with Elevation of Serum CEA |
| title_sort | case of radiation fibrosis appearing as mass like consolidation after sbrt with elevation of serum cea |
| url | http://dx.doi.org/10.1155/2010/986706 |
| work_keys_str_mv | AT kotaroterashima acaseofradiationfibrosisappearingasmasslikeconsolidationaftersbrtwithelevationofserumcea AT yoshiyukishioyama acaseofradiationfibrosisappearingasmasslikeconsolidationaftersbrtwithelevationofserumcea AT satoshinomoto acaseofradiationfibrosisappearingasmasslikeconsolidationaftersbrtwithelevationofserumcea AT saijiohga acaseofradiationfibrosisappearingasmasslikeconsolidationaftersbrtwithelevationofserumcea AT takeshinonoshita acaseofradiationfibrosisappearingasmasslikeconsolidationaftersbrtwithelevationofserumcea AT kayokoohnishi acaseofradiationfibrosisappearingasmasslikeconsolidationaftersbrtwithelevationofserumcea AT kazushigeatsumi acaseofradiationfibrosisappearingasmasslikeconsolidationaftersbrtwithelevationofserumcea AT hidetakeyabuuchi acaseofradiationfibrosisappearingasmasslikeconsolidationaftersbrtwithelevationofserumcea AT hidekihirata acaseofradiationfibrosisappearingasmasslikeconsolidationaftersbrtwithelevationofserumcea AT hiroshihonda acaseofradiationfibrosisappearingasmasslikeconsolidationaftersbrtwithelevationofserumcea AT kotaroterashima caseofradiationfibrosisappearingasmasslikeconsolidationaftersbrtwithelevationofserumcea AT yoshiyukishioyama caseofradiationfibrosisappearingasmasslikeconsolidationaftersbrtwithelevationofserumcea AT satoshinomoto caseofradiationfibrosisappearingasmasslikeconsolidationaftersbrtwithelevationofserumcea AT saijiohga caseofradiationfibrosisappearingasmasslikeconsolidationaftersbrtwithelevationofserumcea AT takeshinonoshita caseofradiationfibrosisappearingasmasslikeconsolidationaftersbrtwithelevationofserumcea AT kayokoohnishi caseofradiationfibrosisappearingasmasslikeconsolidationaftersbrtwithelevationofserumcea AT kazushigeatsumi caseofradiationfibrosisappearingasmasslikeconsolidationaftersbrtwithelevationofserumcea AT hidetakeyabuuchi caseofradiationfibrosisappearingasmasslikeconsolidationaftersbrtwithelevationofserumcea AT hidekihirata caseofradiationfibrosisappearingasmasslikeconsolidationaftersbrtwithelevationofserumcea AT hiroshihonda caseofradiationfibrosisappearingasmasslikeconsolidationaftersbrtwithelevationofserumcea |