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Tuberc Respir Dis > Volume 72(2); 2012 > Article
Tuberculosis and Respiratory Diseases 2012;72(2):203-206.
DOI: https://doi.org/10.4046/trd.2012.72.2.203    Published online February 1, 2012.
Adenocarcinoma of the Lung Progressing to Multiple Cystic Lesions in a 29-Year-Old Man.
Hyun Seong Lee, Jae Wan Jeon, Jae Hee Kim, Hyeong Uk Ju, Joong Gi Bae, Young Ju Min, Jong Joon Ahn, Kwang Won Seo, Yangjin Jegal, Woon Jung Kwon, Hee Jeong Cha, Seung Won Ra
1Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea. docra@docra.pe.kr
2Department of Radiology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
3Department of Pathology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
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.
Key Words: Adenocarcinoma, Cysts, Radiology


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