Ani Ahmed Mansour M Al, Darweesh Adham, Almashhadani Mohammed Atea Ahmed, Babiker Isra, Abdelrahman Amro
Medical Imaging/Body Imaging, Hamad Medical Corporation, Alryan street, Post office Box 3050, Doha, Qatar.
Hamad Medical Corporation, Alryan street, Post office Box 3050, Doha, Qatar.
Radiol Case Rep. 2024 Aug 9;19(11):4702-4707. doi: 10.1016/j.radcr.2024.07.024. eCollection 2024 Nov.
Intrapulmonary miliary metastasis is a rare presentation of adenocarcinoma of the lung, characterized by the dissemination of cancer cells throughout the lung parenchyma in different patterns. This case report highlights an unusual presentation of adenocarcinoma of the lung with intrapulmonary miliary metastasis, emphasizing the diagnostic challenges and management considerations. Here, we report a case of a 51-year-old female who presented to the emergency department (ED) with a 2-month history of dry cough, which started after a flu illness and was associated with mild shortness of breath, left-sided chest pain, and miliary nodules on chest imaging. During bronchoscopy, a transbronchial biopsy was taken for further pathological assessment. The results showed histopathological evidence of lung adenocarcinoma.
肺内粟粒样转移是肺癌腺癌的一种罕见表现，其特征是癌细胞以不同模式在整个肺实质内播散。本病例报告突出了伴有肺内粟粒样转移的肺癌腺癌的不寻常表现，强调了诊断挑战和治疗考量。在此，我们报告一例51岁女性患者，她因干咳2个月就诊于急诊科，干咳始于流感疾病后，伴有轻度气短、左侧胸痛，胸部影像学检查发现粟粒样结节。在支气管镜检查期间，进行了经支气管活检以进行进一步的病理评估。结果显示有肺腺癌的组织病理学证据。
