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Invasive mucinous adenocarcinoma with lepidic-predominant pattern coexisted with tuberculosis: a case report |
Xinxin Xu1, Yinshi Guo2, Qiuying Li3, Ling Yang1(), Jianqiang Kang1 |
1. Department of Geriatrics, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200092, China 2. Allergy Department, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200001, China 3. Department of Interventional Radiology, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200062, China |
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Abstract We observed a rare case of invasive mucinous adenocarcinoma (IMA) with a lepidic-predominant pattern accompanied by pulmonary tuberculosis. An 85-year-old man with repeated cough and sputum was admitted to Xinhua Hospital. T-SPOT test result was 212 pg/ml (reference value of negative is<14 pg/ml), Mycobacterium tuberculosis culture was positive, and tuberculin skin test (PPD) was negative (skin induration<5 mm). The patient was treated with several courses of antibiotics and anti-tuberculosis treatments. Repeated chest CT scans showed disease progression. Bronchoscopy yielded negative results. PET-CT scans showed negative results. A percutaneous lung biopsy revealed mucin-secreting cells lining the alveolar walls. IMA with a lepidic-predominant pattern was diagnosed after invasiveness was found after experimental treatments. Simultaneous occurrence of pulmonary tuberculosis and lung cancer are common; however, the present case of IMA having a lepidic-predominant pattern and coexisting with active tuberculosis has not been reported yet.
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Keywords
invasive mucinous adenocarcinoma
lepidic-predominant
tuberculosis
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Corresponding Author(s):
Ling Yang
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Just Accepted Date: 19 June 2017
Online First Date: 10 July 2017
Issue Date: 04 May 2018
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