title: Massive malignant pleural effusion due to lung adenocarcinoma in 13-year-old boy.
abstract: A 13-year-old boy with no risk factors for lung cancer presented with a massive left-sided pleural effusion and a mediastinal shift on chest radiography and computed tomography. A chest tube drained bloody pleural fluid with an exudative pattern. A pleural biopsy and wedge biopsy of the left lower lobe revealed mucinous adenocarcinoma in the left lower lobe wedge biopsy and metastatic adenocarcinoma in the pleural biopsy. The patient is currently undergoing chemotherapy. Radiotherapy is planned after shrinkage of the tumor. Adenocarcinoma of the lung is very rarely seen in teenagers or children, especially in the absence of risk factors.
authors: Department of Surgery, 5 Azar Hospital, Golestan University of Medical Sciences, Gorgan, Iran af_med75@yahoo.com.
authors: Reza
authors: R
authors: Afghani
authors: Department of Surgery, 5 Azar Hospital, Golestan University of Medical Sciences, Gorgan, Iran.
authors: Amir
authors: A
authors: Hajimohammadi
authors: Department of Pathology, 5 Azar Hospital, Golestan University of Medical Sciences, Gorgan, Iran.
authors: Ramin
authors: R
authors: Azarhoush
authors: Department of Pathology, 5 Azar Hospital, Golestan University of Medical Sciences, Gorgan, Iran.
authors: Vahideh
authors: V
authors: Kazemi-Nejad
authors: Department of Surgery, 5 Azar Hospital, Golestan University of Medical Sciences, Gorgan, Iran.
authors: Behrouz
authors: B
authors: Yari
authors: Clinical Research Development Unit (CRDU), 5 Azar Hospital, Golestan University of Medical Sciences, Gorgan, Iran.
authors: Mona
authors: M
authors: Rezapour Esfahani
mesh_terms: D000230:Adenocarcinoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology; D000077192:Adenocarcinoma of Lung; D002288:Adenocarcinoma, Mucinous / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000556:secondary; D000293:Adolescent; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001706:Biopsy; D002945:Cisplatin / Q000008:administration & dosage; D003841:Deoxycytidine / Q000008:administration & dosage / Q000031:analogs & derivatives; D004322:Drainage; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology; D008297:Male; D016066:Pleural Effusion, Malignant / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D000093542:Gemcitabine
chemical_list: D003841:Deoxycytidine; D002945:Cisplatin; D000093542:Gemcitabine
keywords: Adenocarcinoma; Lung; Malignant; Pleural effusion