© 2005 BMJ Publishing Group Ltd & British Thoracic Society
Images in Thorax
Pulmonary adenocarcinoma presenting as a giant pleural mass
1 Maebashi Red Cross Hospital, Gunma, Japan
2 First Department of Internal Medicine, Gunma University, Gunma, Japan
Correspondence to:
Correspondence to:
Dr K Kaira
Maebashi Red Cross Hospital, Department of Respiratory Medicine, 3-21-36 Asahi-cho, Maebashi, Gunma 377-0014, Japan; k-kaira@maebashi.jrc.or.jp
Keywords: lung cancer; giant pleural mass
| The first 150 words of the full text of this article appear below. |
A 57 year old female non-smoker with no asbestos exposure was admitted with right chest pain and fever. Magnetic resonance imaging revealed a huge mass occupying the right hemithorax (fig 1
). She underwent right posterolateral thoractomy following a negative bronchoscopic examination with transbronchial lung biopsy and transthoracic needle biopsy. A giant, well circumscribed, lobulated solitary tumour 13 cm in diameter attached with a pedicle to the visceral pleura was surgically removed (fig 2A). Macroscopically, the tumour was nearly protruding into the pleural space, compressing the right lower lobe upwards and presenting as a pleural mass. Histological examination showed poorly differentiated adenocarcinoma of the lung (fig 2B). A CT scan performed 12 months after surgery showed a well defined homogeneous mass abutting the pleura in the right lung. The most likely diagnosis was a local relapse of adenocarcinoma of the lung. She was treated with platinum-based chemotherapy and
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