BMJ Case Reports 2017; doi:10.1136/bcr-2017-221972
  • Images in…

CT and PET/CT fusion for lung cancer biopsy planning

  1. Denis Puchkov
  1. Oncology Department, Medical institute n.a. Berezin Sergey, Saint-Petersburg, Russia
  1. Correspondence to Dr Mikhail Cherkashin, mikhail.a.cherkashin{at}
  • Accepted 18 August 2017
  • Published 4 October 2017


A 79-year-old man presented with colorectal cancer T4aN0M0 (surgery at 2016) and a newly diagnosed (by chest CT scan) left lung tumour (77×35×51 mm) with hydrothorax in March 2017. Initially, case was suspected as metastatic and 18-fluorodeoxyglucose whole body positron emission tomography (PET)/CT for staging was performed. Multiple mediastinal, bone and brain metastases were found. For tumour biology, verification core needle (18G) lung biopsy was planned. Due to atelectasis, which was detected with metabolic active focus in its caudal part, we decided …

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