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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Left Perihilar Soft Tissue Mass Mean In A CT Scan?

My husband had a check exray and the ba ct scan. He s very healthy and no health issues ..... Runs 4-5 miles 65 yrs old .... The ct scan showed left peri hilar soft tissue mass ... Encases small segmental pulmonary arteries ..... He has no symptoms. Grew up in Lebanon. Professional boxer, won gold metal.No health problems
Mon, 17 Nov 2014
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Pulmonologist 's  Response
Thanks for your question on HCM.
Your description of mass favours malignancy.
As lung cancer esoecially squamous call carcinoma grows in hilar area and has peculiarity to invade surrounding near by vessel.
Benign cyst or benign soft tissue mass does not invade vessels.
To invade vessel and encasing it ,is the characteristic feature of malignant mass.
So get done biopsy as soon as possible for confirmation of diagnosis. Also get done PET scan to see for distant metastatic lesions.
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What Does Left Perihilar Soft Tissue Mass Mean In A CT Scan?

Thanks for your question on HCM. Your description of mass favours malignancy. As lung cancer esoecially squamous call carcinoma grows in hilar area and has peculiarity to invade surrounding near by vessel. Benign cyst or benign soft tissue mass does not invade vessels. To invade vessel and encasing it ,is the characteristic feature of malignant mass. So get done biopsy as soon as possible for confirmation of diagnosis. Also get done PET scan to see for distant metastatic lesions.