Casallo Blanco S, Marcos Sánchez F, de Matías Salces L, Viana Alonso A, Celdrán Gil J, Núñez Cuerda E
Servicio de Medicina Interna, Hospital Nuestra Señora del Prado, Talavera de la Reina, Toledo.
An Med Interna. 2007 Jun;24(6):289-91. doi: 10.4321/s0212-71992007000600008.
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.
本文介绍了一例30岁男性病例。他有哮喘病史，此次因咳嗽、气短、发热和胸痛就诊。胸部X光显示心脏扩大和间质改变。超声心动图显示有严重的心包积液，需要进行心包穿刺术。CT扫描显示纵隔淋巴结肿大和网状结节间质改变。由于患者不耐受，支气管镜检查未能完成。最后，肺活检使我们得以做出肺腺癌的最终诊断。随后，对年轻人肺癌的一些方面进行了讨论，特别是其发病率、组织学、症状和预后。还讨论了间质性肺疾病的一些方面以及与淋巴管癌病的鉴别诊断。
