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
en En
| WPRIM
| ID: wpr-772759
Biblioteca responsable:
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.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Patología
/
Alveolos Pulmonares
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Tuberculosis Pulmonar
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Adenocarcinoma Mucinoso
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Progresión de la Enfermedad
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Usos Terapéuticos
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Diagnóstico
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Quimioterapia
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Tomografía Computarizada por Tomografía de Emisión de Positrones
/
Neoplasias Pulmonares
Tipo de estudio:
Diagnostic_studies
Límite:
Aged
/
Aged80
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Humans
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Male
Idioma:
En
Revista:
Frontiers of Medicine
Año:
2018
Tipo del documento:
Article