[Lung adenocarcinoma feigning an interstitial lung disease in a 30-year-old man].
A case of a 30-year-old man is presented. He had a past medical history of asthma and presented with cough, shortness of breath, fever and chest pain. The chest X-ray showed cardiomegaly and a interstitial pattern. The echocardiogram revealed a severe pericardial effusion that required performing a pericardiocentesis. A CT scan showed mediastinal adenopathies and reticulonodular interstitial pattern. A bronchoscopy could not be completed because of non-tolerance. Finally a lung biopsy allowed us to reach a final diagnosis of lung adenocarcinoma. Following, some aspects of lung cancer in young people are commented, especially its incidence, histology, symptoms and a prognosis. A few aspects of the interstitial lung disease are also addressed and the differential diagnosis with lymphangitic carcinomatosis.
Casallo Blanco
S
S
Servicio de Medicina Interna, Hospital Nuestra Señora del Prado, Talavera de la Reina, Toledo.
Marcos Sánchez
F
F
de Matías Salces
L
L
Viana Alonso
A
A
Celdrán Gil
J
J
Núñez Cuerda
E
E
D000231:Adenocarcinoma, Papillary / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000556:secondary; D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D002305:Cardiac Tamponade / Q000209:etiology / Q000601:surgery; D006332:Cardiomegaly / Q000209:etiology; D002945:Cisplatin / Q000008:administration & dosage; D003841:Deoxycytidine / Q000008:administration & dosage / Q000031:analogs & derivatives; D004417:Dyspnea / Q000209:etiology; D005355:Fibrosis; D006801:Humans; D017563:Lung Diseases, Interstitial / Q000175:diagnosis*; D008175:Lung Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology; D008207:Lymphatic Metastasis; D008297:Male; D011859:Radiography; D000093542:Gemcitabine
D003841:Deoxycytidine; D002945:Cisplatin; D000093542:Gemcitabine