A Case of Adenocarcinoma – Primary Versus Secondary

Karan Hegde, B Devdas Rai
2020 International Journal of Contemporary Medical Research [IJCMR]  
Adenocarcinoma is the most common form of lung cancer. It is a type of non small cell carcinoma of lung, most commonly seen in women. Adenocarcinoma occurs in more peripheral lung location and may be associated with the history of smoking. Case report: A 54 year old female caretaker presented with cough with expectoration since 1 month, gradual in onset, non progressive, scanty in amount associated with decreased appetite since 1 month and breathlessness on exertion since 1 week. She had a
more » ... eek. She had a history of exposure to tuberculosis patient and was diagnosed with meningioma. There was history of passive smoking. General examination showed right supraclavicular lymph node enlargement. Respiratory examination showed decreased chest movements bilaterally along with coarse crepitation all over lung fields along with decreased intensity of breath sounds bilaterally. Chest x-ray was suggestive of metastasis. HRCT chest also suggested metastasis. FNAC lymph node and sputum of cytology suggestive of metastatic adenocarcinoma. USG abdomen and pelvis as well as CECT abdomen was done to rule out primary lesion Conclusion: As survival rates vary significantly depending on the type of adenocarcinoma, the survival rate after five years depends on the stage of cancer. So early detection is critical for better outcome. The prognosis for different metastatic pattern of intrathoracic metastasis of Lung distinct in EGFR mutant lung adenocarcinoma patient. Early diagnosis and prompt initiation of treatment is key for the prognosis.
doi:10.21276/ijcmr.2020.7.4.15 fatcat:s74pdnpiaza7zoz6b7pfmnudpe