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[A case of pulmonary carcinosarcoma with pleural effusion, progressive pleural thickening and a calcification-like lesion].
Takeyama, Yoshihiro; Yamamoto, Masashi; Shima, Koichiro; Nakamura, Toshinobu; Nakasima, Harunori; Yoshida, Kenya; Kusunose, Masaaki.
Afiliação
  • Takeyama Y; Department of Respiratory Medicine, Nagoya Ekisaikai Hospital.
Nihon Kokyuki Gakkai Zasshi ; 47(7): 620-4, 2009 Jul.
Article em Ja | MEDLINE | ID: mdl-19637805
A 70-year-old man was admitted to our hospital with dyspnea. Chest X-ray film revealed right pleural effusion. Chest CT showed right pleural effusion with slight pleural thickening and a patchy calcification-like lesion. Adenocarcinoma cells were detected in pleural effusion, but upper gastrointestinal endoscopy, barium enema examination and ultrasonography of the abdomen failed to show the primary lesion. We made a diagnosis of primary adenocarcinoma of the lung. Chemotherapy was performed after pleurodesis. However there was gradual increase of right pleural thickening and expansion of the calcification-like lesions. The patient died 16 months after his first visit. Pathological findings of the autopsy specimen revealed the tumor composed of an adenocarcinomatous component and an osteosarcomatous component. The final diagnosis was primary carcinosarcoma of the lung.
Assuntos
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Base de dados: MEDLINE Assunto principal: Pleura / Carcinossarcoma / Derrame Pleural Maligno / Neoplasias Pulmonares Limite: Aged / Humans / Male Idioma: Ja Revista: Nihon Kokyuki Gakkai Zasshi Ano de publicação: 2009 Tipo de documento: Article
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Base de dados: MEDLINE Assunto principal: Pleura / Carcinossarcoma / Derrame Pleural Maligno / Neoplasias Pulmonares Limite: Aged / Humans / Male Idioma: Ja Revista: Nihon Kokyuki Gakkai Zasshi Ano de publicação: 2009 Tipo de documento: Article