A Case of Papillary Adenocarcinoma Presenting with Multiple Cysts.

Tuberculosis and Respiratory Diseases

article

Chon, Suyeon¹  Kim, Yu Jin¹  Kyung, Sun Young¹  An, Chang Hyeok¹  Lee, Sang Pyo¹  Park, Jeong Woong¹  Jeong, Sung Hwan¹  Cho, Eun Kyung¹  Sung, Yon Mi²  Kim, Na Rae³ 

[1] Departments of Internal Medicine, Gil Medical Center, Gachon University of Medicine and Science, Incheon;Departments of Radiology, Gil Medical Center, Gachon University of Medicine and Science, Incheon;Departments of Pathology, Gil Medical Center, Gachon University of Medicine and Science, Incheon

关键词: Lung Neoplasms;    Adenocarcinoma;    Cysts;   

DOI  :  10.4046/trd.2010.68.2.93

学科分类：医学（综合）

来源: The Korean Academy of Tuberculosis and Respiratory Diseases

【 摘 要 】

A 23-year old woman was admitted to our hospital with hemoptysis. The chest X-ray showed reticulonodular opacity and multiple cysts throughout the entire lung field. The chest CT scan revealed numerous bilateral cysts with various sizes, some of them with thickened walls. An open lung wedge resection was performed. The resected specimen showed scattered small nodules, 0.3 to 0.6 cm in size. Microscopically, each nodule was composed of atypical glands with an occasional papillary architecture spreading to the alveolar septa, which were morphologically consistent with a papillary adenocarcinoma with a bronchioloalveolar carcinoma growth pattern. Immunochemically, the tumor cells were negative for the S-100 protein. The patient was diagnosed with an adenocarcinoma of the lung. A variety of diseases can produce or mimic multiple, thin-walled cysts in the lung. Lung cancer with multiple cysts is quite rare. Nevertheless, adenocarcinoma should be a diagnostic consideration. We report a case of a multiple cystic adenocarcinoma of the lung.

【 授权许可】

CC BY-NC