Table 2.

Overview of patients with lesions suspicious for pulmonary metastases at preoperative chest imaging (n = 7)

Patient	Imaging	Histology obtained	Surgical treatment	FIGO stage	Focality	Tumour size (mm)	Depth of invasion (mm)	Groin metastasis	Follow up
1	CT	No	RLE, LND bilateral (palliative debulking for local control)	IVb	Unifocal	79.0	14.0	Bilateral (histology +)	Lymphangitis carcinomatosa (before start radiotherapy) 2 months later, deceased 1 month later
2	CT	No	None	IVb	Unifocal	90.0	Unknown	Right (physical exam + CT)	Early dementia, palliative radiotherapy. Deceased 4 months after diagnosis
3	Radiography, CT	Yes	RLE, LND bilateral (local control)	IVb	Unifocal	40.0	Unknown	Left (fixed nodes, histology +)	Deceased 4 months after surgical treatment
4	CT	No	None	IVb	Unifocal	230.0	Unknown	Bilateral (physical exam + CT)	Extensive locoregional spread and distant metastases. Deceased 1 month after diagnosis
5	Radiography, CT	No	RLE (palliative resection)	IVb	Unifocal	100.00	10.0	Right (physical exam + CT)	CT; atypical perifissural nodules and intrapulmonary lesions, probability of metastases 50%. No additional diagnostics at patient’s wish. Follow up by GP after 3 months
6	CT	No	RLE (palliative resection)	II (clinical)	Multifocal	35.0	1.0	Suspicious right (physical exam + ultrasound), but FNAC negative	CT: several perifissural nodules, probably lymph nodes with probability of metastases <25%, but poor quality images. Severe dementia, palliative resection, no additional diagnostics. Suspicion of local recurrence without chest imaging 7 months later, deceased 1 month later
7	CT	No	None	IVb	Unifocal	80.0	Unknown	Bilateral (physical exam + CT)	Palliative radiotherapy. Deceased 4 months later