Invasive mucinous adenocarcinoma with lepidic-predominant pattern coexisted with tuberculosis: a case report / 医学前沿
Frontiers of Medicine
;
(4): 330-333, 2018.
Artículo
en Inglés
| 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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Patología
/
Alveolos Pulmonares
/
Tuberculosis Pulmonar
/
Adenocarcinoma Mucinoso
/
Progresión de la Enfermedad
/
Usos Terapéuticos
/
Diagnóstico
/
Quimioterapia
/
Tomografía Computarizada por Tomografía de Emisión de Positrones
/
Neoplasias Pulmonares
Tipo de estudio:
Estudio diagnóstico
Límite:
Anciano
/
Aged80
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Frontiers of Medicine
Año:
2018
Tipo del documento:
Artículo
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