Rodríguez Aixa Dones, Manzano Kelvin Rivera, González Ricardo Fernández, Adorno Fontánez José R, Hernández Ricardo A, Gonález Del Rosario Modesto, Rodríguez Rafael Vicens, Nieves Scharon Joel E
San Juan City Hospital, Department of Pulmonary Medicine, PR, USA.
Hospital Auxilio Mutuo de Puerto Rico, Department of Pulmonary Medicine, PR, USA.
Respir Med Case Rep. 2017 Feb 2;20:125-128. doi: 10.1016/j.rmcr.2017.01.012. eCollection 2017.
We describe a case of an unusual fast growing lung micropapillary-predominant adenocarcinoma in a nonsmoker male patient without pre-existing lung disease. Adenocarcinomas have been described to be slow growing tumors, however our patient presented a fast-growing rate over a period of 21 days. When the patient failed broad spectrum antibiotic coverage, malignancy became part of the differential diagnosis. Once malignancy was detected, prompt identification and treatment was started in order to improve prognosis of the patients.
我们描述了一例罕见的快速生长的以微乳头为主型肺腺癌,患者为无肺部基础疾病的非吸烟男性。腺癌通常被认为是生长缓慢的肿瘤,但我们的患者在21天内呈现出快速生长的态势。当患者广谱抗生素治疗无效时,恶性肿瘤成为鉴别诊断的一部分。一旦检测到恶性肿瘤,便立即开始进行识别和治疗,以改善患者的预后。