A difficult diagnosis - pneumonia or bronchioloalveolar carcinoma mimicking pneumonia?
https://doi.org/10.18705/2311-4495-2015-0-2-3-128-134
Abstract
The purpose of this study was to evaluate the differential CT features of bronchioloalveolar carcinoma mimicking pneumonia and pneumonia at the lung periphery. CT images of 36 patients with focal areas of parenchymal opacification at the lung periphery were retrospectively reviewed. We evaluated the presence of «groundglass attenuation», «CT-angiogram sign», «air-bronchogram sign», a bubblelike low-attenuation area within the lesion, presence of bronchial wall thickening proximal to the lesion, and air-trapping in the normal lung near the lesion, presence of pleural thickening and retraction associated with the lesion.
About the Authors
Gennady E. Trufanov
Federal Almazov North-West Medical Research Centre
Russian Federation
Russian Federation
Aleksandr S. Grischenkov
“Military Medical Academy named after S. M. Kirov», Russian Ministry of Defense
Russian Federation
Russian Federation
Olga A. Sigina
“Military Medical Academy named after S. M. Kirov», Russian Ministry of Defense
Russian Federation
Russian Federation
Vyacheslav S. Dekan
“Hospital n.122 named after L. G. Sokolov” of FMBA
Russian Federation
Russian Federation
Sergei D. Rud
“Military Medical Academy named after S. M. Kirov», Russian Ministry of Defense
Russian Federation
Russian Federation
Igor M. Kuznetsov
“Military Medical Academy named after S. M. Kirov», Russian Ministry of Defense
Russian Federation
Russian Federation
References
1. Акопов А. Л. Современные подходы к классификации рака легкого. Врач. 2011. - № 11. С. 7-11. [Akopov A. L. Sovremennye podhody k klassifikacii raka legkogo. Vrach. 2011. - № 11. S.7-11. In Russian.]
2. Бердников Р.Б., Гринберг Л. М., Сорокина Н. Д. Морфологическая диагностика бронхиолоальвеолярного рака. Уральский мед. журнал 2009; С. 4:51-56. [Berdnikov R. B., Grinberg L. M., Sorokina N. D. Morfologicheskaja diagnostika bronhioloal'veoljarnogo raka. Ural'skij med. zhurnal 2009; S. 4:51-56.In Russian.]
3. Гринберг Л. М., Бердников Р. Б. Бронхиолоальвеолярный рак - основные итоги 20 лет исследований. Уральский мед. журнал 2005; 8:32-37. [Grinberg L. M., Berdnikov R. B. Bronhi oloarveoljarnyj rak - osnovnye itogi 20 let issledovanij. Ural'skij med. zhurnal 2005; 8:32-37.In Russian.]
4. Давыдов М. И., Аксель Е. М. Статистика злокачественных новообразований в России и странах СНГ в 2009 г. Вестник РОНЦ им. Н. Н. Блохина РАМН. - 2011. - № 3. 172 с. [Davydov M. I., Aksel' E. M. Statistika zlokachestvennyh novoobrazovanij v Rossii i stranah SNG v 2009 g. Vestnik RONC im. N. N. Blohina RAMN. - 2011. - № 3. 172 s. In Russian.]
5. Тюрин И. Е. Компьютерная томография органов грудной полости. СПб, 2003. 371 с. [Tjurin I. E. Komp'juternaja tomografija organov grudnoj polosti. SPb, 2003. 371 s.In Russian.]
6. Чиссов В. И., Старинский В. В., Петров Г. В. Злокачественные новообразования в России в 2010 (заболеваемость и смертность). М.: ФГУ «МНИОИ им. А. П. Герцена Росмедтехнологий», 2012. 260 с. [Chissov V. I. Starinskij V. V., Petrov G. V. Zlokachestvennye novoobrazovanija v Rossii v 2010 (zabolevaemost’ i smertnost’). M. : FGU «MNIOI im. A. P. Gercena Rosmedtehnologij», 2012. 260 s.In Russian.]
7. Чиссов, В. И. Ошибки в диагностике и лечении рака легкого. Терапевтический архив. 2001. Т. 73, № 10. С. 5-10. [Chissov, V. I. Oshibki v diagnostike i lechenii raka legkogo. Terapevticheskij arhiv. 2001. T. 73, № 10. S. 5-10In Russian.]
8. Gaeta M., Vinci S., Minutoli F. et al. CT and MRI findings of mucin-containing tumors and pseudotumors of the thorax: pictorial review. Eur. Radiol. 2002 N. 12. P. 181-189.
9. General thoracic surgery.ed. by Thomas W. Shields, Joseph Lo Cicero, Ronald B. Ponn. Philadelphia, 2009. 2672 p.
10. Shahid M., Malik A., Bhargava R. Bronchogenic carcinoma and secondary aspergillosis-common yet unexplored: evaluation of the role of bronchoalveolar lavage-polymerase chain reaction and some nonvalidated serologic methods to establish early diagnosis. Int. J. Cancer. 2008. Vol.113. Р 547-558.
11. Terasaki H., Niki T., Matsuno Y. et al. Lung adenocarcinoma with mixed bronchioloalveolar and invasive components: clinicopathological features, subclassification by extent of invasive foci, and immunohistochemical characterization. Am. J. Surg. Pathol. 2003; 27 (7):973-951.
12. Waheed, Z., Irfan M., Fatimi S. Bronchial carcinoid presenting as multiple lung abscesses. J. Coll. Physicians Surg. Pak. 2013. Vol.23, № 3. P. 229-230.
Review
For citations:
Trufanov G.E., Grischenkov A.S., Sigina O.A., Dekan V.S., Rud S.D., Kuznetsov I.M. A difficult diagnosis - pneumonia or bronchioloalveolar carcinoma mimicking pneumonia? Translational Medicine. 2015;(2-3):128-134. (In Russ.) https://doi.org/10.18705/2311-4495-2015-0-2-3-128-134
Views:
4692
Email this article 