A Case of Locally Advanced Well-Differentiated Fetal Adenocarcinoma of the Lung Treated with Concurrent Chemoradiation Therapy.
10.4046/trd.2013.74.5.226
- Author:
Chanhee KYUNG
1
;
Sang Young KIM
;
Beom Jin LIM
;
Jung Joon CHA
;
Hyung Jung KIM
;
Chul Min AHN
;
Heejin PARK
;
Eun Na CHO
;
Yoon Soo CHANG
Author Information
1. Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. YSCHANG@yuhs.ac
- Publication Type:Case Report
- Keywords:
Adenocarcinoma;
Drug Therapy;
Radiotherapy
- MeSH:
Adenocarcinoma;
Airway Obstruction;
Biopsy;
Bronchi;
Bronchoscopy;
Dyspnea;
Humans;
Lung;
Lung Neoplasms;
Male;
Pulmonary Blastoma;
Stents;
Taxoids;
Thorax
- From:Tuberculosis and Respiratory Diseases
2013;74(5):226-230
- CountryRepublic of Korea
- Language:English
-
Abstract:
Fetal adenocarcinoma is a rare adenocarcinoma subtype of pulmonary blastoma. A 48-year-old male patient is being referred to our hospital due to progressive dyspnea. A chest X-ray showed a lung mass of unknown origin that was obstructing the right main bronchus. After relieving the airway obstruction with stent insertion via bronchoscopy, a diagnosis of fetal adenocarcinoma is being confirmed through thoracoscopic biopsy. Due to the locally advanced state of the lung cancer, it seemed to be inoperable, and concurrent chemo-radiation therapy was being administered with docetaxel. The stent was removed after improvements in the airway obstruction followed by a lung mass shrinkage. Comparing to other contexts which describe fetal adenocarcinoma as lower grade malignancy with low-associated mortality, herein, we describe a case of locally-advanced fetal adenocarcinoma (T4N3M0). This is the first documented case being treated with concurrent chemoradiation therapy. The followed-up image studies represent a partial response and the patient is currently under further observations.
