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Miliary Tuberculosis in a Young Patient? Let's Not Forget the Lung Adenocarcinoma!

Lung cancer is one of the most common cancers diagnosed every year and accounts for a major percentage of cancer incidence and mortality annually, especially in men. Lung adenocarcinoma is a subtype of non-small cell lung cancer (NSCLC), which is the most common type of lung cancer found in smokers...

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Autores principales: Zia, Zeeshan, Iqbal, Qasim Z, Narula, Naureen, Sattar, Saud Bin Abdul, Rafay Khan Niazi, Muhammad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7520401/
https://www.ncbi.nlm.nih.gov/pubmed/32999781
http://dx.doi.org/10.7759/cureus.10058
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author Zia, Zeeshan
Iqbal, Qasim Z
Narula, Naureen
Sattar, Saud Bin Abdul
Rafay Khan Niazi, Muhammad
author_facet Zia, Zeeshan
Iqbal, Qasim Z
Narula, Naureen
Sattar, Saud Bin Abdul
Rafay Khan Niazi, Muhammad
author_sort Zia, Zeeshan
collection PubMed
description Lung cancer is one of the most common cancers diagnosed every year and accounts for a major percentage of cancer incidence and mortality annually, especially in men. Lung adenocarcinoma is a subtype of non-small cell lung cancer (NSCLC), which is the most common type of lung cancer found in smokers and nonsmokers alike. It is known to have diverse CT chest findings ranging from: ground-glass opacities (GGOs) with partially solid nodules, to single or multiple solid nodules that can be either central or peripheral, to thin-walled cystic lesions. Lesions are usually solitary but may be multifocal. Rarely, these lesions can be calcified or demonstrate cavitation, which can make it difficult to distinguish from an infectious disease like tuberculosis, pneumonia, or even fungal infections. Here, we present a case of a 36-year-old Asian male with no significant past medical history, except a 16-pack-year smoking history and recent deployment to Afghanistan, that initially presented with a chief complaint of cough of three-week duration. His CT scan showed innumerable bilateral pulmonary nodules within both lung fields with a miliary type appearance that ultimately turned out to be adenocarcinoma.
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spelling pubmed-75204012020-09-29 Miliary Tuberculosis in a Young Patient? Let's Not Forget the Lung Adenocarcinoma! Zia, Zeeshan Iqbal, Qasim Z Narula, Naureen Sattar, Saud Bin Abdul Rafay Khan Niazi, Muhammad Cureus Internal Medicine Lung cancer is one of the most common cancers diagnosed every year and accounts for a major percentage of cancer incidence and mortality annually, especially in men. Lung adenocarcinoma is a subtype of non-small cell lung cancer (NSCLC), which is the most common type of lung cancer found in smokers and nonsmokers alike. It is known to have diverse CT chest findings ranging from: ground-glass opacities (GGOs) with partially solid nodules, to single or multiple solid nodules that can be either central or peripheral, to thin-walled cystic lesions. Lesions are usually solitary but may be multifocal. Rarely, these lesions can be calcified or demonstrate cavitation, which can make it difficult to distinguish from an infectious disease like tuberculosis, pneumonia, or even fungal infections. Here, we present a case of a 36-year-old Asian male with no significant past medical history, except a 16-pack-year smoking history and recent deployment to Afghanistan, that initially presented with a chief complaint of cough of three-week duration. His CT scan showed innumerable bilateral pulmonary nodules within both lung fields with a miliary type appearance that ultimately turned out to be adenocarcinoma. Cureus 2020-08-26 /pmc/articles/PMC7520401/ /pubmed/32999781 http://dx.doi.org/10.7759/cureus.10058 Text en Copyright © 2020, Zia et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Zia, Zeeshan
Iqbal, Qasim Z
Narula, Naureen
Sattar, Saud Bin Abdul
Rafay Khan Niazi, Muhammad
Miliary Tuberculosis in a Young Patient? Let's Not Forget the Lung Adenocarcinoma!
title Miliary Tuberculosis in a Young Patient? Let's Not Forget the Lung Adenocarcinoma!
title_full Miliary Tuberculosis in a Young Patient? Let's Not Forget the Lung Adenocarcinoma!
title_fullStr Miliary Tuberculosis in a Young Patient? Let's Not Forget the Lung Adenocarcinoma!
title_full_unstemmed Miliary Tuberculosis in a Young Patient? Let's Not Forget the Lung Adenocarcinoma!
title_short Miliary Tuberculosis in a Young Patient? Let's Not Forget the Lung Adenocarcinoma!
title_sort miliary tuberculosis in a young patient? let's not forget the lung adenocarcinoma!
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7520401/
https://www.ncbi.nlm.nih.gov/pubmed/32999781
http://dx.doi.org/10.7759/cureus.10058
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