Clinical Report and Literature Review of Bronchioloalveolar Carcinoma Misdiagnosed as Interstitial Lung Disease
HE Yan-xia
Xue bing
DI Li-juan
Abstract：Objective To highlight the interstitial changes of bronchioloalveolar carcinoma in radiology and clinical manifestations in order to prevent misdiagnosis. Methods The clinical data of a case of bronchioloalveolar carcinoma misdi-agnosed as lung fibrosis for 3 years in other hospitals were respectively reviewed and relevant literature was reviewed. Results A patient with a history of wood dust inhalation admitted to the hospital complied of progressive dry cough and dyspnea at exertion for 3 years. A physical examination revealed bilateral crackles mainly on the left lung, and radiology showed intersti-tial changes mainly on the left lung. A presumptive diagnosis of lung fibrosis was made in several hospitals and corresponding treatment was prescribed, but with no significant clinical improvement. Surgical lung biopsy revealed bronchioloalveolar carci-noma. The patient refused further treatment, and therefore was discharged. The patient died of respiratory failure 3 months lat-er. Conclusion Bronchioloalveolar carcinoma may mimic benign interstitial disease. PET, bronchoscopy and pneumocentesis may possibly be falsely negative,therefore surgical lung biopsy should be performed as soon as possible.
Keywords：Lung neoplasmMisdiagnosisLung diseaseinterstitial
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 8-10 )