NYMC Faculty Publications

An Unusual Presentation of Aggressive Primary Invasive Adenocarcinoma of Lung

Author Type(s)

Faculty

DOI

10.1016/j.amjms.2020.09.014

Journal Title

The American Journal of the Medical Sciences

First Page

118

Last Page

125

Document Type

Case Report

Publication Date

1-2021

Department

Medicine

Abstract

Bilateral diffuse infiltrates on chest imaging can present a diagnostic challenge due to a broader differential diagnosis which includes pulmonary and non-pulmonary causes. Malignancy is generally not considered under differential diagnosis at the time of initial presentation. Here we present a case of primary adenocarcinoma of lung manifesting as diffuse bilateral infiltrates on imaging. Our case is unique in regards to its acute presentation, rapid progression to respiratory failure, ultimately leading to the demise of the patient. This indicates the aggressive nature of this malignancy and its variable presentation, like male gender and young age, thus emphasizing the importance of entertaining malignancy in such presentations, especially if there is no response to conventional antibiotic therapy.

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