Description
A woman aged 69 years was referred to our department for the evaluation of a solitary pulmonary nodule. She had undergone total abdominal hysterectomy with bilateral salpingo-oophorectomy on diagnosis of endometrioid endometrial carcinoma (FIGO stage 1B, grade 2) 4 years ago. At that time, she received adjuvant treatment (six cycles of carboplatin and paclitaxel). After 3 years, chest CT scan revealed a nodule of 0.5 cm in diameter with cavitation in the right upper lobe of the lung (figure 1A). One year later, the pulmonary nodule increased in size (1.3 cm; figure 1B), and she underwent CT scan-guided percutaneous transthoracic biopsy, which subsequently revealed potent oestrogen receptor-positive metastatic disease. She underwent wedge resection of the right upper lobe because the primary tumour site was controlled without an uncontrollable extrapulmonary disease. The resection margin was clear, and the nodule was well demarcated with a thin-walled cavity,...
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