A case of pulmonary pleomorphic carcinoma associated with cystic airspace

Autor: Mamiko Iwamura, MD, Miki Nishimori, MD, PhD, Hitomi Iwasa, MD, PhD, Michimi Otani, MD, Kosuke Nakaji, MD, Noriko Nitta, MD, Kana Miyatake, MD, Rika Yoshimatsu, MD, PhD, Tomoaki Yamanishi, MD, Tomohiro Matsumoto, MD, PhD, Mitsuko Iguchi, MD, PhD, Hironobu Okada, MD, PhD, Takuji Yamagami, MD, PhD
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Radiology Case Reports, Vol 18, Iss 8, Pp 2692-2696 (2023)
Druh dokumentu: article
ISSN: 1930-0433
DOI: 10.1016/j.radcr.2023.05.022
Popis: Lung cancer associated with a cystic airspace is frequently misdiagnosed or overlooked. Adenocarcinoma, followed by squamous cell carcinoma, is the most typical histologic type of lung cancer connected to a cystic airspace. Here we present the rare case of lung pleomorphic carcinoma associated with a cystic airspace. We encountered a 74-year-old Japanese man diagnosed by computed tomography (CT) as having a nodule outside a cystic airspace in the lung. Several previous CT images showed that the cystic airspace preceded the nodule. Postsurgery, pathology indicated a diagnosis of pleomorphic carcinoma. Since pulmonary pleomorphic carcinomas pursue an aggressive clinical course, their early detection may contribute to an improved prognosis. Our case demonstrated that pleomorphic carcinoma can arise with cystic airspaces. For early diagnosis of those aggressive lung cancers, chest physicians should carefully examine the walls of cystic airspaces on CT.
Databáze: Directory of Open Access Journals