How to Manage a Large Undifferentiated Lung Cancer Mass: A Case Report.
| Autor: | Arif S; Cardiothoracic Surgery, Hull University Teaching Hospitals NHS Trust, Cottingham, GBR., Irfan A; Cardiothoracic Surgery, Hull University Teaching Hospitals NHS Trust, Cottingham, GBR., Qadri SS; Cardiothoracic Surgery, Hull University Teaching Hospitals NHS Trust, Cottingham, GBR. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Dec 05; Vol. 16 (12), pp. e75159. Date of Electronic Publication: 2024 Dec 05 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.75159 |
| Abstrakt: | Non-small cell lung cancer is the most common type of lung cancer globally. An important subtype to discuss is undifferentiated carcinomas, which are variants of large cell carcinoma, and these can typically present with evidence of neuroendocrine differentiation. The patient presented with a large mass in the right upper lobe extending into the middle lobe. It was attached to the pleura and involved the pericardium medially. The biopsy showed poorly differentiated carcinoma. However, pleural origin could not be ruled out. Hence, the patient was planned to have surgical excision followed by adjuvant chemotherapy. The surgical excision involved a video-assisted thoracic surgery (VATS) inspection followed by median sternotomy for medial dissection and then the excision was completed through right posterolateral thoracotomy. The patient recovered well postoperatively and went home on Day 7. The patient is doing well at four months follow-up. It is interesting to know how a large tumour can be managed when the origin of the tumour is not certain and neoadjuvant therapy cannot be utilized to downsize the tumour. Competing Interests: Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Arif et al.) |
| Databáze: | MEDLINE |
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