Spindle Cell Carcinoma of the Lung/Pleura: An Incidental Finding

A 59-year-old male with a medical history of abdominal aortic dissection underwent a follow-up computed tomography (CT) scan abdomen, which showed an incidental pleural-based mass in the left lung base. The patient underwent an ultrasound (US)-guided biopsy and the histology was consistent with spin...

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Detalles Bibliográficos
Autores principales: Sardar, Muhammad, Azharuddin, Muhammad, Khan, Wahab J, Noory, Mohammad A, Shaikh, Nasreen, Malik, Saad Ullah, Du, Doantrang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2018
Materias:
Internal Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6103392/
https://www.ncbi.nlm.nih.gov/pubmed/30140599
http://dx.doi.org/10.7759/cureus.2848
Descripción
Sumario:A 59-year-old male with a medical history of abdominal aortic dissection underwent a follow-up computed tomography (CT) scan abdomen, which showed an incidental pleural-based mass in the left lung base. The patient underwent an ultrasound (US)-guided biopsy and the histology was consistent with spindle cell carcinoma (SpCC). Staging workup was concerning for a metastatic lesion on the adrenal gland. The patient refused surgery and was subsequently started on chemotherapy. SpCC is a rare histological variant of sarcomatoid carcinoma. The prognosis is generally poor and treatment is the same as for other non-small cell lung cancers (NSCLC). The literature on disease progression and treatment is limited.

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