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A rare case of cavitary lung cancer complicated with mycotic pneumonia and bullous emphysema: A case report and review of the literature.

Abstract The accurate diagnosis and staging of cavitary lung cancer is challenging but essential for the choice of therapy; therefore, the differential diagnosis of cystic pulmonary lesions needs to be elucidated.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29382032
OWN - NLM
STAT- MEDLINE
DCOM- 20180207
LR  - 20180207
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 47
DP  - 2017 Nov
TI  - A rare case of cavitary lung cancer complicated with mycotic pneumonia and
      bullous emphysema: A case report and review of the literature.
PG  - e8927
LID - 10.1097/MD.0000000000008927 [doi]
AB  - RATIONALE: The accurate diagnosis and staging of cavitary lung cancer is
      challenging but essential for the choice of therapy; therefore, the differential 
      diagnosis of cystic pulmonary lesions needs to be elucidated. PATIENT CONCERNS: A
      patient was admitted with multifocal thin-walled cystic lesions in chest computed
      tomography. DIAGNOSES: The patient had been diagnosed as heterogeneous bullous
      emphysema pathologically about 3 years ago. His diagnosis turned out to be
      metastatic cavitary lung cancer complicated with fungal pneumonia this time.
      INTERVENTIONS: The patient underwent lung volume reduction surgery during his
      first hospitalization. Concurrent systemic chemotherapy and whole brain
      radiotherapy were administered after the diagnosis of cystic lung cancer.
      OUTCOMES: The patient was lost to follow-up after the chemoradiotherapy. LESSONS:
      Cavitary lung cancer should always be kept in mind during differential diagnosis 
      of pulmonary cystic lesions. Pathological diagnosis by biopsy and surgery could
      be considered to avoid delayed treatment of malignancy.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Lu, Cun-Tao
AU  - Lu CT
AD  - Department of General Thoracic Surgery, Xuzhou Central Hospital Affiliated to
      Southeast University.
FAU - Zhang, Rui-Mei
AU  - Zhang RM
AD  - Department of Respiratory Medicine, Xuzhou Infectious Disease Hospital.
FAU - Wang, Heng
AU  - Wang H
AD  - Department of General Thoracic Surgery, Xuzhou Central Hospital Affiliated to
      Southeast University.
FAU - Kong, Feng-Wei
AU  - Kong FW
AD  - Department of Respiratory Medicine, Xuzhou Infectious Disease Hospital.
FAU - Wu, Wen-Bin
AU  - Wu WB
AD  - Department of General Thoracic Surgery, Xuzhou Central Hospital Affiliated to
      Southeast University.
FAU - Gong, Long-Bo
AU  - Gong LB
AD  - Department of Gastrointestinal Surgery, Xuzhou Central Hospital Affiliated to
      Southeast University, Xuzhou, China.
FAU - Zhang, Miao
AU  - Zhang M
AD  - Department of General Thoracic Surgery, Xuzhou Central Hospital Affiliated to
      Southeast University.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Diagnosis, Differential
MH  - Emphysema/diagnosis/*microbiology
MH  - Humans
MH  - Lost to Follow-Up
MH  - Lung Diseases, Fungal/*complications
MH  - Lung Neoplasms/diagnosis/*microbiology
MH  - Male
MH  - Middle Aged
MH  - Pneumonia/diagnosis/*microbiology
PMC - PMC5709031
EDAT- 2018/02/01 06:00
MHDA- 2018/02/08 06:00
CRDT- 2018/02/01 06:00
PHST- 2018/02/01 06:00 [entrez]
PHST- 2018/02/01 06:00 [pubmed]
PHST- 2018/02/08 06:00 [medline]
AID - 10.1097/MD.0000000000008927 [doi]
AID - 00005792-201711270-00123 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Nov;96(47):e8927. doi: 10.1097/MD.0000000000008927.