A diagnostic challenge: An incidental lung nodule in a 48-year-old nonsmoker

A 43-year-old female with a medical history of renal stones, hypertension, diabetes mellitus Type 2, and depression presented to her urologist with bilateral flank pain. She complained of worsening exertional dyspnea over the last several months with recent weight gain. She also endorsed night sweat...

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Main Authors: Blake Eric Christianson, Supriya Gupta, Shikhar G Vyas, Helena Spartz, Jayanth H Keshavamurthy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Lung India
Subjects:
Online Access:http://www.lungindia.com/article.asp?issn=0970-2113;year=2018;volume=35;issue=3;spage=251;epage=255;aulast=Christianson
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author Blake Eric Christianson
Supriya Gupta
Shikhar G Vyas
Helena Spartz
Jayanth H Keshavamurthy
author_facet Blake Eric Christianson
Supriya Gupta
Shikhar G Vyas
Helena Spartz
Jayanth H Keshavamurthy
author_sort Blake Eric Christianson
collection DOAJ
description A 43-year-old female with a medical history of renal stones, hypertension, diabetes mellitus Type 2, and depression presented to her urologist with bilateral flank pain. She complained of worsening exertional dyspnea over the last several months with recent weight gain. She also endorsed night sweats and intermittent, scant hemoptysis over the past year. She denied fever, chills, nausea, vomiting, diarrhea, constipation, hematuria, or excessive joint or muscle pain. Physical examination was unremarkable. Computed tomography scan of abdomen and pelvis demonstrated bilateral nonobstructing renal stones and a 1.8 cm × 1.7 cm nodular opacity in the right lower lobe of the lung, not present on previous scan 1 year prior. Surgical wedge resection was performed and subsequent pathologic examination demonstrated a 1.2 cm × 0.6 cm × 0.5 cm soft, gelatinous well-demarcated mass in the right lower lobe wedge specimen without gross evidence of necrosis or hemorrhage confirming colloid adenocarcinoma of the lung.
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spelling doaj.art-a2707a55f803419aa3c73ab0a0e655e62022-12-22T03:50:18ZengWolters Kluwer Medknow PublicationsLung India0970-21130974-598X2018-01-0135325125510.4103/lungindia.lungindia_212_17A diagnostic challenge: An incidental lung nodule in a 48-year-old nonsmokerBlake Eric ChristiansonSupriya GuptaShikhar G VyasHelena SpartzJayanth H KeshavamurthyA 43-year-old female with a medical history of renal stones, hypertension, diabetes mellitus Type 2, and depression presented to her urologist with bilateral flank pain. She complained of worsening exertional dyspnea over the last several months with recent weight gain. She also endorsed night sweats and intermittent, scant hemoptysis over the past year. She denied fever, chills, nausea, vomiting, diarrhea, constipation, hematuria, or excessive joint or muscle pain. Physical examination was unremarkable. Computed tomography scan of abdomen and pelvis demonstrated bilateral nonobstructing renal stones and a 1.8 cm × 1.7 cm nodular opacity in the right lower lobe of the lung, not present on previous scan 1 year prior. Surgical wedge resection was performed and subsequent pathologic examination demonstrated a 1.2 cm × 0.6 cm × 0.5 cm soft, gelatinous well-demarcated mass in the right lower lobe wedge specimen without gross evidence of necrosis or hemorrhage confirming colloid adenocarcinoma of the lung.http://www.lungindia.com/article.asp?issn=0970-2113;year=2018;volume=35;issue=3;spage=251;epage=255;aulast=ChristiansonColloid adenocarcinoma of the lunglung nodulemucinous adenocarcinoma
spellingShingle Blake Eric Christianson
Supriya Gupta
Shikhar G Vyas
Helena Spartz
Jayanth H Keshavamurthy
A diagnostic challenge: An incidental lung nodule in a 48-year-old nonsmoker
Lung India
Colloid adenocarcinoma of the lung
lung nodule
mucinous adenocarcinoma
title A diagnostic challenge: An incidental lung nodule in a 48-year-old nonsmoker
title_full A diagnostic challenge: An incidental lung nodule in a 48-year-old nonsmoker
title_fullStr A diagnostic challenge: An incidental lung nodule in a 48-year-old nonsmoker
title_full_unstemmed A diagnostic challenge: An incidental lung nodule in a 48-year-old nonsmoker
title_short A diagnostic challenge: An incidental lung nodule in a 48-year-old nonsmoker
title_sort diagnostic challenge an incidental lung nodule in a 48 year old nonsmoker
topic Colloid adenocarcinoma of the lung
lung nodule
mucinous adenocarcinoma
url http://www.lungindia.com/article.asp?issn=0970-2113;year=2018;volume=35;issue=3;spage=251;epage=255;aulast=Christianson
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