Invasive mucinous adenocarcinoma with lepidic-predominant pattern coexisted with tuberculosis: a case report / 医学前沿
Frontiers of Medicine
;
(4): 330-333, 2018.
Article
in English
| WPRIM
| ID: wpr-772759
ABSTRACT
We observed a rare case of invasive mucinous adenocarcinoma (IMA) with a lepidic-predominant pattern accompanied by pulmonary tuberculosis. An 85-year-old man with repeated cough and sputum was admitted to Xinhua Hospital. T-SPOT test result was 212 pg/ml (reference value of negative is < 14 pg/ml), Mycobacterium tuberculosis culture was positive, and tuberculin skin test (PPD) was negative (skin induration < 5 mm). The patient was treated with several courses of antibiotics and anti-tuberculosis treatments. Repeated chest CT scans showed disease progression. Bronchoscopy yielded negative results. PET-CT scans showed negative results. A percutaneous lung biopsy revealed mucin-secreting cells lining the alveolar walls. IMA with a lepidic-predominant pattern was diagnosed after invasiveness was found after experimental treatments. Simultaneous occurrence of pulmonary tuberculosis and lung cancer are common; however, the present case of IMA having a lepidic-predominant pattern and coexisting with active tuberculosis has not been reported yet.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pathology
/
Pulmonary Alveoli
/
Tuberculosis, Pulmonary
/
Adenocarcinoma, Mucinous
/
Disease Progression
/
Therapeutic Uses
/
Diagnosis
/
Drug Therapy
/
Positron Emission Tomography Computed Tomography
/
Lung Neoplasms
Type of study:
Diagnostic study
Limits:
Aged
/
Aged80
/
Humans
/
Male
Language:
English
Journal:
Frontiers of Medicine
Year:
2018
Type:
Article
Similar
MEDLINE
...
LILACS
LIS