Rapid-growth Lung Cancer Associated with a Pulmonary Giant Bulla: A Case Report
| Autor: | Shinzo Takamori, Toshihiro Matsuo, Keisuke Miwa, Kanetaka Maeshiro, Hisashi Nakamura, Mart Fukunaga, Akihiro Hayashi, Kazuo Shirouzu |
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| Rok vydání: | 2003 |
| Předmět: |
Lung Diseases
Male Pathology medicine.medical_specialty Lung Neoplasms Lung business.industry medicine.medical_treatment General Medicine Middle Aged medicine.disease Adenocarcinoma Papillary Pneumonectomy Blister Papillary adenocarcinoma medicine.anatomical_structure medicine Carcinoma Humans Adenocarcinoma Pulmonary hemorrhage Bulla (seal) business Lung cancer |
| Zdroj: | The Kurume Medical Journal. 50:147-150 |
| ISSN: | 1881-2090 0023-5679 |
| Popis: | A giant bulla of the lung is suggested as a risk factor for lung cancer. Here we report a case with lung cancer in a giant bulla, which showed rapid progression. A 57-year-old man, who had a history of heavy smoking, was admitted to our hospital due to hemoptysis. A chest X-ray revealed a giant bulla with a ground glass shadow and a high fluid level in the right upper lung. Sputum cytology was negative for malignant cells. A chest X-ray a month later showed increases of the size of the radio-opaque shadow and of the air-fluid retention, suggesting pulmonary hemorrhage from the giant bulla. Limited resection or lobectomy was indicated, but pneumonectomy was performed due to the severe air-leak. Macroscopically, a multiple nodular tumor arose from the bulla wall, which might be related to blood flow and necrotic tissue. The postoperative pathological diagnosis was papillary adenocarcinoma. Unfortunately, the patient developed a recurrence of carcinoma in the pleuroperitoneal cavity and died at 2.5 months after the operation. Based on this report and review of other cases in the literature, we should keep in mind the rapid progression of lung cancer in association with an emphysematous bulla. |
| Databáze: | OpenAIRE |
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