Wolf in sheep’s clothing: a case of primary lung adenosquamous carcinoma mimicking traumatic pulmonary pseudocyst

医学 放射科 心胸外科 肺挫伤 肺癌 上腔静脉 外科 迟钝的 病理 内科学
作者
Wei Li,Si Chen,Yao Fu,Zhenyang Cheng,Sijun Yan
出处
期刊:Journal of Cardiothoracic Surgery [BioMed Central]
卷期号:19 (1)
标识
DOI:10.1186/s13019-024-03005-1
摘要

Traumatic pulmonary pseudocyst is a rare "cystlike" lung lesion that typically develops following blunt chest trauma. It differs from lung cancer associated with cystic airspaces in terms of pathogenic mechanisms, clinical manifestations, and radiological features. Furthermore, there are few reports of the diagnostic bias between traumatic pulmonary pseudocyst and lung cancer associated with cystic airspaces. Here, we present a rare case of lung cancer associated with cystic airspaces that mimicks traumatic pulmonary pseudocyst. A 61-year-old man with no chest medical or surgical history, no chest radiologic examination within the last five years, and no smoking history had an air-filled "cystlike" lesion surrounded by solid components and ground-glass opacities in the middle third of the right upper lobe of the lung during a computed tomography evaluation following blunt chest trauma. He was initially diagnosed with traumatic pulmonary pseudocyst and treated conservatively. On the third post-trauma day, he experienced hemoptysis, which was successfully treated with intravenous hemostatic medication. On the ninth post-trauma day, he exhibited a significant hemoptysis and a moderate dyspnea. A subsequent chest computed tomography scan demonstrated that the solid components had entered the lesion's cavity and significantly expanded, and the surrounding ground-glass opacities had slightly enlarged. A contrast-enhanced chest computed tomography scan and a three-dimensional reconstruction computed tomography image confirmed that the solid components were a hematoma caused by damage to the right upper pulmonary vein. A right upper lobectomy was performed based on the concern about severe intrapulmonary bleeding. An intraoperative frozen section analysis showed significant bleeding in the lung parenchyma. Adenosquamous carcinoma was unexpectedly identified during the postoperative pathological examination of the resected specimen. A diagnosis of primary lung adenosquamous carcinoma was made. He was discharged on the seventh postoperative day and followed up for two years without any recurrence. The potential of lung cancer associated with cystic airspaces should be considered for "cystlike" lung lesions discovered in elderly patients after blunt chest trauma. A comprehensive review of the medical history, meticulous analysis of the radiological findings, and close monitoring can help clinicians reduce the risk of diagnostic bias.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
FashionBoy应助谦让友绿采纳,获得10
1秒前
1秒前
1秒前
杰柒完成签到,获得积分10
1秒前
称心不尤完成签到 ,获得积分10
1秒前
YI发布了新的文献求助10
1秒前
Cc发布了新的文献求助10
2秒前
洋子完成签到,获得积分10
2秒前
2秒前
体贴花卷发布了新的文献求助10
2秒前
3秒前
3秒前
3秒前
谦让疾发布了新的文献求助10
3秒前
刘西西完成签到,获得积分10
3秒前
欢喜的皮卡丘完成签到,获得积分10
3秒前
Mu丶tou完成签到,获得积分10
3秒前
马敬丽发布了新的文献求助10
3秒前
银点完成签到,获得积分10
4秒前
在水一方应助西瓜二郎采纳,获得10
4秒前
江屿发布了新的文献求助20
4秒前
小不完成签到 ,获得积分10
4秒前
o30发布了新的文献求助10
4秒前
斯文败类应助Yong采纳,获得10
5秒前
慕青应助生动芷采纳,获得10
5秒前
州府十三发布了新的文献求助30
5秒前
5秒前
6秒前
heaven发布了新的文献求助10
6秒前
6秒前
SYLH应助琪琪的采纳,获得10
6秒前
汉堡包应助琪琪的采纳,获得10
6秒前
dff发布了新的文献求助10
6秒前
Albertxkcj完成签到,获得积分10
7秒前
7秒前
7秒前
半岛发布了新的文献求助10
7秒前
哈哈哈哈哈完成签到 ,获得积分10
8秒前
8秒前
欧气青年发布了新的文献求助10
8秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
Cognitive Neuroscience: The Biology of the Mind 1000
Technical Brochure TB 814: LPIT applications in HV gas insulated switchgear 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Picture Books with Same-sex Parented Families: Unintentional Censorship 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3969335
求助须知:如何正确求助?哪些是违规求助? 3514162
关于积分的说明 11172430
捐赠科研通 3249456
什么是DOI,文献DOI怎么找? 1794853
邀请新用户注册赠送积分活动 875437
科研通“疑难数据库(出版商)”最低求助积分说明 804809