Confluent cavitated nodules in invasive mucinous adenocarcinoma: A case report

IF 1 Q3 MEDICINE, GENERAL & INTERNAL Electronic Journal of General Medicine Pub Date : 2023-07-01 DOI:10.29333/ejgm/13151
Madaleine López-Hinostroza, J. Dávila, Angélica Y. Asencio, Jeel Moya-Salazar
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Abstract

Invasive mucinous adenocarcinoma is a rare variant of lung adenocarcinoma. Here, we present the case of a patient with invasive mucinous adenocarcinoma with cavitary lung lesions. A 61-year-old painter-and-bricklayer. She was admitted due to mMRC2 dyspnea, a dry cough that during hospitalization mobilizes dense, abundant secretions, and becomes demanding. Differential diagnoses were made based on clinical symptoms and images, performing multiple laboratory tests ruling out immunosuppression, and two video-bronchofibroscopies finding the diagnosis in the transbronchial lung biopsy: Invasive mucinous adenocarcinoma that would explain the abundant bronchorrhea, advanced stage and poor prognosis led to ventilatory failure and death of the patient.
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浸润性粘液腺癌合并空化结节1例
侵袭性黏液腺癌是一种罕见的肺腺癌。在此,我们报告一例浸润性黏液腺癌合并肺腔病变的病例。一位61岁的油漆工兼瓦匠。她因mMRC2呼吸困难而入院,这是一种干咳,在住院期间动员密集、丰富的分泌物,并变得吃力。根据临床症状和影像进行鉴别诊断,多次实验室检查排除免疫抑制,两次纤维支气管镜检查经支气管肺活检诊断:浸润性粘液腺癌,可解释支气管溢血,晚期,预后差,导致患者呼吸衰竭死亡。
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来源期刊
Electronic Journal of General Medicine
Electronic Journal of General Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.60
自引率
4.80%
发文量
79
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