title: [A not so poorly-defined opacity].
abstract: A 60-year-old patient was under follow-up for pulmonary hypertension consistent with pulmonary veno-occlusive disease. During his follow-up, a parenchymal opacity was discovered. We describe the management of the suspicion of lung cancer, highlighting the modification of the conventional diagnostic and therapeutic strategy on account of the pulmonary hypertension. Chest physicians should be able to adapt their diagnostic and therapeutic management in the case of neoplasia in patients with severe pulmonary hypertension.
authors.affiliation: Service de pneumologie et oncologie thoracique, CHU de St-Étienne, 42100 St-Étienne, France.
authors.forename: E
authors.initials: E
authors.lastname: Bravos
authors.affiliation: Service de pneumologie et oncologie thoracique, CHU de St-Étienne, 42100 St-Étienne, France.
authors.forename: S
authors.initials: S
authors.lastname: Bayle-Bleuez
authors.affiliation: Service de médecine nucléaire, CHU de St-Étienne, 42100 St-Étienne, France.
authors.forename: A
authors.initials: A
authors.lastname: Wahart
authors.affiliation: Service de radiologie, CHU de St-Étienne, 42100 St-Étienne, France.
authors.forename: R
authors.initials: R
authors.lastname: Lachèze
authors.affiliation: Service d'anatomo-pathologie, CHU de St-Étienne, 42100 St-Étienne, France.
authors.forename: F
authors.initials: F
authors.lastname: Forest
authors.affiliation: Service de cardiologie, CHU de St-Étienne, 42100 St-Étienne, France.
authors.forename: J-B
authors.initials: JB
authors.lastname: Guichard
authors.affiliation: Service de médecine vasculaire et thérapeutique, hôpital Nord, CHU de St-Étienne, 42055 St-Étienne cedex, France; Inserm U1059, dysfonction vasculaire et hémostase, université Jean-Monnet, 42100 St-Étienne, France. Electronic address: laurent.bertoletti@gmail.com.
authors.forename: L
authors.initials: L
authors.lastname: Bertoletti
mesh_terms: D003937:Diagnosis, Differential; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications* / Q000175:diagnosis; D033162:Incidental Findings; D008175:Lung Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology; D008207:Lymphatic Metastasis; D008297:Male; D008479:Mediastinal Neoplasms / Q000175:diagnosis / Q000556:secondary; D008875:Middle Aged; D011668:Pulmonary Veno-Occlusive Disease / Q000150:complications* / Q000175:diagnosis; D014057:Tomography, X-Ray Computed
keywords: Cancer bronchopulmonaire; Hypertension pulmonaire; Lung cancer; Maladie veino-occlusive; Pulmonary hypertension; Veno-occlusive disease