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
em En
| WPRIM
| ID: wpr-772759
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Patologia
/
Alvéolos Pulmonares
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Tuberculose Pulmonar
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Adenocarcinoma Mucinoso
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Progressão da Doença
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Usos Terapêuticos
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Diagnóstico
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Tratamento Farmacológico
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Tomografia por Emissão de Pósitrons combinada à Tomografia Computadorizada
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Neoplasias Pulmonares
Tipo de estudo:
Diagnostic_studies
Limite:
Aged
/
Aged80
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Humans
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Male
Idioma:
En
Revista:
Frontiers of Medicine
Ano de publicação:
2018
Tipo de documento:
Article