Interní Med. 2014; 16(5): 196-198

Pneumonic form of the lung cancer

MUDr.Jana Kulísková, prof.MUDr.Vítězslav Kolek, DrSc.

Klinika plicních nemocí a tuberkulózy FN a LF UP Olomouc

Adenocarcinoma with prominent lepidic spread presents, in addition to it´s specific morphology, with certain clinical characteristics as higher

incidence in women, non-smokers and younger patiens and lower susceptibility to conventional cytostatik therapy in comparison to other

subtypes of non-small cell lung carcinoma (NSCLC). About 10 % of NSCLC express receptor for epidermal growth faktor (EGFR), which is predictor

of effectiveness to biologic therapy. We present a case of a 33 years old man, who was treated at the begining for left lung pneumonia. Just with

the passage of 3 months, after antibiotic therapy and repeated radiology controls, the patient was sent to our workplace for further investigation

for persistent infiltration of the left lung. Biopsy established mucinous adenocarcinoma with prominent lepidic spread, already with presence

of metastasis in right lung. Despite the chemotherapy disease progresses and the patient is dying less than a year from the diagnosis. This case

illustrates, that it´s important to think of lung carcinoma also in young age and carry out careful diagnostic of all unsolved radiologic findings.

Keywords: lung carcinoma, lepidic adenocarcinoma, pneumonic form, EGF receptor

Published: November 1, 2014  Show citation