Spontaneous Pneumothorax and Cavitated Lesions as First Manifestation of Metastatic Lung Adenocarcinoma to Ovary and Peritoneum in Young Patient
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2019, Vol 17, Issue 4
Abstract
A 28-year-old woman who consulted the emergency depart-ment of the National Cancer Institute (Instituto Nacional de Can-cerología) for a 7-month history of asthenia, adinamia, progressive dyspnea, low cough, loss of 17 kilograms of weight and the ap-pearance of a painful mass at the level of the iliac fossa and right flank. Initially studied as an outpatient with presumptive diagno-sis of granulomatous disease with negative serial baciloscopy and chest x-ray showing right atelectasis + right pneumothorax. In the tomography multiple solid nodules some with hypodense center involving both pulmonary fields, caverns of thickened walls in both apices, posterior segments of the lower lobes and upper segments of the lower lobes. In the abdominal tomography there is presence of mass surrounding uterus of 185 *100*85 mm of density of soft tissues, which takes the contrast IV and cystic area of 85 mm in its right aspect of probable ovarian origin and hepatic compromise with apparent peritoneal sowings. Positive tumor markers AFP 1.2, ACE 392, CA 125 257
Authors and Affiliations
Ricardo Bruges, Marcela Bermúdez, Pedro Sanabria
Keywords
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- EP ID EP590731
- DOI 10.26717/BJSTR.2019.17.003049
- Views 161
- Downloads 0
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