Abstract
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.
MeSH terms
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Adenocarcinoma, Papillary / complications
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Adenocarcinoma, Papillary / diagnosis*
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Adenocarcinoma, Papillary / diagnostic imaging
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Adenocarcinoma, Papillary / drug therapy
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Adenocarcinoma, Papillary / secondary
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Adult
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Antineoplastic Combined Chemotherapy Protocols / therapeutic use
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Cardiac Tamponade / etiology
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Cardiac Tamponade / surgery
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Cardiomegaly / etiology
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Cisplatin / administration & dosage
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Deoxycytidine / administration & dosage
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Deoxycytidine / analogs & derivatives
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Dyspnea / etiology
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Fibrosis
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Gemcitabine
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Humans
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Lung Diseases, Interstitial / diagnosis*
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Lung Neoplasms / complications
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Lung Neoplasms / diagnosis*
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Lung Neoplasms / diagnostic imaging
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Lung Neoplasms / drug therapy
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Lung Neoplasms / pathology
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Lymphatic Metastasis
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Male
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Radiography
Substances
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Deoxycytidine
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Cisplatin
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Gemcitabine