CTICasesDelayed Chest Wall Recurrence of Lung Adenocarcinoma
Imaging findings
CT chest shows a soft tissue nodule in the chest wall, invading into the adjacent rib at the site of a previous VATS port incision, developing 5 years after surgical resection of a primary lung adenocarcinoma.
Key takeaways
Tumor recurrence or seeding at surgical access sites (VATS ports, thoracotomy scars, or biopsy tracts) is a rare but well-described complication of thoracic oncological surgery. Vigilant long-term CT surveillance of surgical scars is important, as recurrences can occur several years post-resection.
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