Adenocarcinoma of Lung Presenting as Hydropneumothorax: A Rare Presentation (original) (raw)
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Pakistan Journal of Chest medicine, 2018
Pleura is a commonest location for metastasis of malignancy of various organs. The infiltration of pleura usually present as Pleural Effusion, which is the hallmark of pleural metastasis, other presentation include pleural nodules or extensive pleural thickening and rarely as pneumothorax or Hydropneumothorax as noted in this case report. Lung carcinoma is the most frequent malignancy that invades pleura thereby resulting in malignant and paramalignant effusions. Carcinoma of Breast is second frequent malignancy leading to malignant pleural effusion.
Rare Lung Tumors: Alveolar Adenoma-Four Case Reports
Turkish Thoracic Journal, 2019
Alveolar adenoma is one of the rare benign tumors of the lung. It was first described in a six case studies by Yousem and Hochholzer in 1986 [1]. Burke et al. [2] evaluated the clinical and pathological findings of alveolar adenomas with a 17 maturation series. It is usually found in middle-aged women and shows asymptomatic findings in chest radiographs. Overall less than 1% of all lung tumors have been reported to be detected [1-3]. Here, we present four cases (one male and three females) of alveolar adenoma. The patients provided written informed consent for publication. CASE PRESENTATIONS Case 1 A 36-year-old male patient presented to our clinic with a complaint of chest pain. There was no obvious feature in the physical examination and in the patient's history. The blood pressure was 120/80 mmHg, pulse rate was 95/min, body temperature was 36.5°C, and respiration rate was 26/min. The laboratory parameters are within normal limits. A thoracic computed tomography (CT) scan revealed a 26-mm nodule without calcification in the left lower lobe (Figure 1). A fiberoptic bronchoscopy (FOB) examination showed no pathology. A positron emission CT (PET-CT) revealed a 26-mm nodule (SUV-max 2,8) in the left lower lobe of the lung. A diagnosis was not made despite transthoracic fine needle aspiration. Agglutinin tests for hydatid cysts were negative. The forced vital capacity) in the pulmonary function test was 2.8 L, 98%, forced expiratory volume in 1 s was 2.4 L, 93%. The lesion was reported as benign in the thoracotomy-derived frozen section. The pathologic diagnosis was alveolar adenoma (Figure 2). No pathology was found in the 34-month follow-up of the patient. Case 2 A 51-year-old woman was admitted to our clinic with shortness of breath. A posterioranteriorposterior chest X-ray showed uniformly increased density of approximately 2 cm in the right hemithorax subregions. In the thoracic CT, a solitary pulmonary nodule with a diameter of 1.8 cm was localized paravertebrally in the posterior segment of the right upper lobe (Figure 3). The bronchial system was routinely evaluated in the FOB examination. Thoracotomy was performed due to a family history of hydatid cyst. When the lesion was diagnosed as frozen cutaneous benign, thoracotomy was performed through wedge resection. The pathological diagnosis was alveolar adenoma. No pathology was found in the 15-year follow-up of the patient. Case 3 A 38-year-old female patient presented with thoracic hemoptysis and pain. Thoracic CT revealed a 1.3 cm diameter pulmonary nodule in the anterior segment of the right upper lobe. No pathology was detected in the FOB. Thoracotomy was performed because of hemoptysis. The lesion was diagnosed as frozen cutaneous and benign, and thoracotomy was
Wolf in sheep’s clothes: An uncommon case of pneumonic-type adenocarcinoma
African Journal of Thoracic and Critical Care Medicine
We report a case of a patient who presented with clinical and radiological features of a non-resolving pneumonia. Special investigations and a poor response to antibiotic therapy excluded an infective aetiology. A diagnosis of invasive mucinous adenocarcinoma, previously termed bronchioloalveolar carcinoma, was made from lung biopsy. This case illustrates the challenges of establishing a timely diagnosis of an uncommon pneumonic-type of adenocarcinoma.
Pulmonary carcinoid presenting with persistent pneumothorax
BMJ Case Reports, 2019
Lung neuroendocrine tumours (Lung NETs) are a rare group of pulmonary neoplasms often characterised by insidious clinical behaviour. Lung NET account for ~1%–2% of all lung malignancies in adults and 30% of all NETs. Incidence ranges from 0.2 to 2/100 000 population per year. While some patients may be asymptomatic, others may present with obstructive symptoms due to mass effect. Incidence of spontaneous pneumothorax as a complication of lung neoplasms is rare (0.05%–1.4% of all pneumothoraces). In this report, we present a case of recurrent pneumothorax due to Lung NET that was refractory to conservative management. We also discuss the diagnostic methods as well as surgical management approach, which is considered the treatment of choice in such tumours.
INCIDENTAL EARLY LUNG ADENOCARCINOMA AFTER SURGERY FOR CATAMENIAL PNEUMOTHORAX
FUKUSHIMA JOURNAL OF MEDICAL SCIENCE, 2012
A 40 -yearold female patient underwent surgery at our hospital for recurrent pneumothorax. A defect on the right diaphragm was diagnosed as ectopic endometriosis. However, air leakage continued 2 days after surgery. Chest computed tomography identified a 5 -mm ground glass opacity in the right S3 field, suggestive of lung cancer. Ten days after the initial surgery, she underwent curative surgery for both pneumothorax and the lung tumor. The tumor was diagnosed as bronchioloalveolar carcinoma, but no other endometriosis was identified. The patient has remained well with no recurrence of lung cancer or pneumothorax since the second surgery.
Unusual Cause of Left-Sided Hydropneumothorax
Unusual Cause of Left-Sided Hydropneumothorax, 2022
The condition known as hydropneumothorax occurs when fluid and air are both present in the pleural space. A bronchopleural fistula, an infection, a spontaneous pneumothorax, trauma, or rarely diffuse lung disease are a few conditions that might cause a hydropneumothorax. The most common radiographic finding in hydropneumothorax is an intrapleural air-fluid level. When hydropneumothorax is the major diagnosis, thoracentesis and chest radiographs offer a conclusive diagnosis. The current case report details an unusual cause of left-sided hydropneumothorax for a 78-year-old man who had a hydropneumothorax during his hospital stay, as well as how the problem was addressed with positive outcomes and patient satisfaction.