Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Adenocarcinoma of the Lung Progressing to Multiple Cystic Lesions in a 29-Year-Old Man

29세 남자에서 다발성 낭종성 병변으로 진행한 폐선암 1예

  • Lee, Hyun-Seong (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Jeon, Jae-Wan (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Kim, Jae-Hee (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Ju, Hyeong-Uk (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Bae, Joong-Gi (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Min, Young-Ju (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Ahn, Jong-Joon (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Seo, Kwang-Won (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • JeGal, Yang-Jin (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Kwon, Woon-Jung (Department of Radiology, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Cha, Hee-Jeong (Department of Pathology, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Ra, Seung-Won (Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine)
  • 이현성 (울산대학교 의과대학 울산대학교병원 내과학교실) ;
  • 전재완 (울산대학교 의과대학 울산대학교병원 내과학교실) ;
  • 김재희 (울산대학교 의과대학 울산대학교병원 내과학교실) ;
  • 주형욱 (울산대학교 의과대학 울산대학교병원 내과학교실) ;
  • 배중기 (울산대학교 의과대학 울산대학교병원 내과학교실) ;
  • 민영주 (울산대학교 의과대학 울산대학교병원 내과학교실) ;
  • 안종준 (울산대학교 의과대학 울산대학교병원 내과학교실) ;
  • 서광원 (울산대학교 의과대학 울산대학교병원 내과학교실) ;
  • 제갈양진 (울산대학교 의과대학 울산대학교병원 내과학교실) ;
  • 권운정 (울산대학교 의과대학 울산대학교병원 영상의학교실) ;
  • 차희정 (울산대학교 의과대학 울산대학교병원 병리학교실) ;
  • 나승원 (울산대학교 의과대학 울산대학교병원 내과학교실)
  • Received : 2011.11.14
  • Accepted : 2011.12.24
  • Published : 2012.02.29
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Abstract

Cystic lesions or progressive cystic changes in adenocarcinoma of the lung have rarely been reported. We report a case of lung adenocarcinoma that progressed from ground-glass opacities (GGOs) and consolidations or nodules to extensive cystic lesions during 12 months in a young adult patient. A 29-year-old male was initially diagnosed with primary lung adenocarcinoma by transbronchial lung biopsy of the right lower lobe and lung to lung metastasis in both lungs according to imaging findings. The initial chest computed tomography (CT) scans showed multifocal GGOs, consolidations, and nodules in both lungs. Despite treatment with palliative chemotherapy, the patient's follow-up CT scans showed multiple, cystic changes in both lungs and that the lesions had progressed more extensively. He died of hypoxic respiratory failure one year after his diagnosis.

Keywords

References

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