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
kindong完成签到,获得积分10
刚刚
zoeyyy完成签到,获得积分10
1秒前
Lucas应助WANG采纳,获得10
1秒前
1秒前
1秒前
Xltox完成签到,获得积分10
2秒前
XylonYu完成签到,获得积分10
3秒前
华仔应助碧蓝碧凡采纳,获得10
4秒前
5秒前
超勍发布了新的文献求助10
9秒前
小马甲应助yuanshl1985采纳,获得10
9秒前
zhuxiaonian完成签到,获得积分10
12秒前
田様应助淘气科研采纳,获得10
12秒前
chenyi完成签到,获得积分10
13秒前
zyyyy完成签到,获得积分10
13秒前
奶黄包完成签到 ,获得积分10
13秒前
SYLH应助海阔天空采纳,获得10
13秒前
13秒前
机灵又蓝完成签到,获得积分10
14秒前
张土豆完成签到 ,获得积分10
14秒前
善学以致用应助小王采纳,获得10
14秒前
orang完成签到,获得积分10
15秒前
巧巧艾完成签到,获得积分10
15秒前
16秒前
邵洋完成签到,获得积分10
16秒前
sl发布了新的文献求助10
16秒前
17秒前
小迪迦奥特曼完成签到,获得积分10
17秒前
17秒前
cckk发布了新的文献求助10
18秒前
夏目由美完成签到 ,获得积分10
18秒前
Jasper应助哦哦哦采纳,获得10
19秒前
YYD完成签到,获得积分10
19秒前
超勍完成签到,获得积分10
19秒前
碧蓝碧凡发布了新的文献求助10
20秒前
Popeye应助鹤鸣采纳,获得30
20秒前
YYD发布了新的文献求助10
21秒前
yuanshl1985发布了新的文献求助10
21秒前
积极的黑猫完成签到,获得积分10
22秒前
GB完成签到 ,获得积分10
22秒前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
Research on Disturbance Rejection Control Algorithm for Aerial Operation Robots 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 4038426
求助须知:如何正确求助?哪些是违规求助? 3576119
关于积分的说明 11374556
捐赠科研通 3305834
什么是DOI,文献DOI怎么找? 1819339
邀请新用户注册赠送积分活动 892678
科研通“疑难数据库(出版商)”最低求助积分说明 815029