ABSTRACT
El carcinoma sarcomatoide es una neoplasia maligna, poco frecuente,de localización extremadamente rara en pulmón, más frecuenteen varones y en clara relación con el hábito tabáquico.Describimos el caso de un varón de 72 años que presentaba clínicade tos con expectoración hemoptoica, síndrome febril y cuadroconstitucional, en el que se objetivó en la radiografía de tóraxduplicación del tamaño de una lesión quística, ya conocida previamentey con sospecha clínica de quiste hidatídico en lóbulo superiorderecho. Ante la falta de diagnóstico con las pruebas no invasivas,se realizó una toracotomía diagnóstico-terapéutica,estableciéndose el diagnóstico anatomopatológico de carcinomasarcomatoide de pulmón tras la extirpación de la pieza quirúrgica (AU)
Sarcomatoid carcinoma is an infrequent malignant neoplasia,extremely rare in the lung, more frequent in men and with a clearrelationship with the tobacco habit.We describe the case of a 72 year old man who presented a clinicalpicture of cough with haemoptoic expectoration, febrile syndromeand constitutional syndrome, in which chest X-ray examinationshowed a duplication in the size of a previously known cystic lesion,with the clinical suspicion of a hydatid cyst in the right upper lobe.Faced with the lack of a diagnosis with non-invasive tests, a diagnostic-therapeutic thoracotomy was made, establishing the anatomopathologicdiagnosis of sarcomatoid carcinoma of the lung afterthe surgical resection of the lesion (AU)
Subject(s)
Humans , Male , Aged , Lung Neoplasms/diagnosis , Cysts/diagnosis , Hemoptysis/etiology , ThoracotomyABSTRACT
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Subject(s)
Humans , Pleural Effusion/microbiology , Pleural Effusion/diagnosis , Tomography, X-Ray Computed , Magnetic Resonance Imaging , Polymerase Chain ReactionABSTRACT
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Subject(s)
Humans , Tobacco Use Cessation/methods , Education, Medical, Undergraduate/trends , Tobacco Use Disorder/prevention & control , Curriculum/trends , Students, MedicalSubject(s)
Echinococcosis, Pulmonary/diagnosis , Adolescent , Adult , Aged , Bronchoscopy , Child , Echinococcosis, Pulmonary/complications , Female , Humans , Male , Middle AgedABSTRACT
A 48-years-old patient with a clinical picture of dyspnea, unproductive cough, and nonspecific thoracic pain is reported. The most outstanding finding in the physical examination was the auscultation of fine crepitants after inhalation, located in both pulmonary bases. The chest X-ray desmonstrated the existence of some confluent, bilateral opacities of a net basal predominance, which were suggestive of an interstitial process. The lung biopsy, through a thoracotomy, has allowed for the diagnosis of a desquamative interstitial pneumonia. The alterations found in the humoral immunity, which basically consisted of an important increase of IgG and a less-marked increase of IgA, have shown a regressive tendency, closely correlated to a good response to the steroid therapy. The clinical and roentgenological course of the patient has been similarly favourable.
