A case of adenocarcinoma presenting with cystic lesion and recurrent pneumothoraces.

IF 1.5 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of Cardiothoracic Surgery Pub Date : 2024-10-01 DOI:10.1186/s13019-024-03111-0
Long Yu, Yang Lou, Dan Zhu
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Abstract

Background: In this paper, a rare case is reported, where the patient is a 74-year-old man. He suffered from recurrent pneumothorax within half a year and experienced a relapse after receiving conservative treatments.

Case presentation: Diagnostic workup revealed a cystic lesion in the right middle lobe, which has been interpreted as a bulla during the initial chest CT scan. Due to recurrent pneumothorax and poor response to the conservative treatments, the patient underwent bullectomy and pleurodesis. The pathology showed that the wall of the cystic lesion was invasive adenocarcinoma.

Conclusions: This case highlights the importance of monitoring cystic lesions in the lungs, especially in patients with a history of smoking and emphysema.

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一例腺癌伴囊性病变和复发性气胸。
背景:本文报告了一例罕见病例,患者是一名 74 岁的男性。他在半年内反复出现气胸,在接受保守治疗后复发:诊断性检查发现右肺中叶有囊性病变,在最初的胸部 CT 扫描中被解释为鼓室。由于气胸复发且保守治疗效果不佳,患者接受了鼓室切除术和胸膜穿刺术。病理结果显示,囊壁病变为浸润性腺癌:本病例强调了监测肺部囊性病变的重要性,尤其是对有吸烟史和肺气肿的患者。
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来源期刊
Journal of Cardiothoracic Surgery
Journal of Cardiothoracic Surgery 医学-心血管系统
CiteScore
2.50
自引率
6.20%
发文量
286
审稿时长
4-8 weeks
期刊介绍: Journal of Cardiothoracic Surgery is an open access journal that encompasses all aspects of research in the field of Cardiology, and Cardiothoracic and Vascular Surgery. The journal publishes original scientific research documenting clinical and experimental advances in cardiac, vascular and thoracic surgery, and related fields. Topics of interest include surgical techniques, survival rates, surgical complications and their outcomes; along with basic sciences, pediatric conditions, transplantations and clinical trials. Journal of Cardiothoracic Surgery is of interest to cardiothoracic and vascular surgeons, cardiothoracic anaesthesiologists, cardiologists, chest physicians, and allied health professionals.
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