A case of poorly differentiated hilar lung adenocarcinoma of an unidentified histological type.

S. Ogawa, Koichi Fukunaga, R. Hiraoka, E. Kohda, K. Yamaguchi, Daisuke Ito, J. Hata

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

The patient was a 74-year-old man, a physician, whose chief complaint was an unproductive cough. The shadow of a mass was seen at the hilum of the left lung, and the mediastinal lymph nodes on both sides were swollen. No histological diagnosis was obtained even after bronchoscopy, including transbronchial needle aspiration biopsy, but large-cell carcinoma of the lung was diagnosed on the basis of ultrasound-guided biopsy of a shadow in the liver suspected of being a metastatic tumor (T2N3M1, Stage IV). Two courses of chemotherapy (CBCDA + VDS) failed to gain any improvement, and the pain resulting from recurrent bone metastases was managed mainly by the administration of the best supportive care. The patient was readmitted to the hospital after development of numbness in the right upper extremity followed by complication of pneumonia and heart failure, and he passed away. Autopsy revealed a primary hilar lung tumor with a histological diagnosis of poorly differentiated adenocarcinoma.

Original languageEnglish
Pages (from-to)162-172
Number of pages11
JournalKeio Journal of Medicine
Volume49
Issue number4
Publication statusPublished - 2000 Dec

Fingerprint

Needle Biopsy
Lung
Large Cell Carcinoma
Hypesthesia
Bronchoscopy
Cough
Upper Extremity
Autopsy
Neoplasms
Pneumonia
Adenocarcinoma
Heart Failure
Lymph Nodes
Neoplasm Metastasis
Physicians
Biopsy
Bone and Bones
Drug Therapy
Pain
Liver

ASJC Scopus subject areas

  • Medicine(all)

Cite this

A case of poorly differentiated hilar lung adenocarcinoma of an unidentified histological type. / Ogawa, S.; Fukunaga, Koichi; Hiraoka, R.; Kohda, E.; Yamaguchi, K.; Ito, Daisuke; Hata, J.

In: Keio Journal of Medicine, Vol. 49, No. 4, 12.2000, p. 162-172.

Research output: Contribution to journalArticle

Ogawa, S, Fukunaga, K, Hiraoka, R, Kohda, E, Yamaguchi, K, Ito, D & Hata, J 2000, 'A case of poorly differentiated hilar lung adenocarcinoma of an unidentified histological type.', Keio Journal of Medicine, vol. 49, no. 4, pp. 162-172.
Ogawa, S. ; Fukunaga, Koichi ; Hiraoka, R. ; Kohda, E. ; Yamaguchi, K. ; Ito, Daisuke ; Hata, J. / A case of poorly differentiated hilar lung adenocarcinoma of an unidentified histological type. In: Keio Journal of Medicine. 2000 ; Vol. 49, No. 4. pp. 162-172.
@article{27e317753e3d44ce8d9580c8e79b300c,
title = "A case of poorly differentiated hilar lung adenocarcinoma of an unidentified histological type.",
abstract = "The patient was a 74-year-old man, a physician, whose chief complaint was an unproductive cough. The shadow of a mass was seen at the hilum of the left lung, and the mediastinal lymph nodes on both sides were swollen. No histological diagnosis was obtained even after bronchoscopy, including transbronchial needle aspiration biopsy, but large-cell carcinoma of the lung was diagnosed on the basis of ultrasound-guided biopsy of a shadow in the liver suspected of being a metastatic tumor (T2N3M1, Stage IV). Two courses of chemotherapy (CBCDA + VDS) failed to gain any improvement, and the pain resulting from recurrent bone metastases was managed mainly by the administration of the best supportive care. The patient was readmitted to the hospital after development of numbness in the right upper extremity followed by complication of pneumonia and heart failure, and he passed away. Autopsy revealed a primary hilar lung tumor with a histological diagnosis of poorly differentiated adenocarcinoma.",
author = "S. Ogawa and Koichi Fukunaga and R. Hiraoka and E. Kohda and K. Yamaguchi and Daisuke Ito and J. Hata",
year = "2000",
month = "12",
language = "English",
volume = "49",
pages = "162--172",
journal = "Keio Journal of Medicine",
issn = "0022-9717",
publisher = "Keio University School of Medicine",
number = "4",

}

TY - JOUR

T1 - A case of poorly differentiated hilar lung adenocarcinoma of an unidentified histological type.

AU - Ogawa, S.

AU - Fukunaga, Koichi

AU - Hiraoka, R.

AU - Kohda, E.

AU - Yamaguchi, K.

AU - Ito, Daisuke

AU - Hata, J.

PY - 2000/12

Y1 - 2000/12

N2 - The patient was a 74-year-old man, a physician, whose chief complaint was an unproductive cough. The shadow of a mass was seen at the hilum of the left lung, and the mediastinal lymph nodes on both sides were swollen. No histological diagnosis was obtained even after bronchoscopy, including transbronchial needle aspiration biopsy, but large-cell carcinoma of the lung was diagnosed on the basis of ultrasound-guided biopsy of a shadow in the liver suspected of being a metastatic tumor (T2N3M1, Stage IV). Two courses of chemotherapy (CBCDA + VDS) failed to gain any improvement, and the pain resulting from recurrent bone metastases was managed mainly by the administration of the best supportive care. The patient was readmitted to the hospital after development of numbness in the right upper extremity followed by complication of pneumonia and heart failure, and he passed away. Autopsy revealed a primary hilar lung tumor with a histological diagnosis of poorly differentiated adenocarcinoma.

AB - The patient was a 74-year-old man, a physician, whose chief complaint was an unproductive cough. The shadow of a mass was seen at the hilum of the left lung, and the mediastinal lymph nodes on both sides were swollen. No histological diagnosis was obtained even after bronchoscopy, including transbronchial needle aspiration biopsy, but large-cell carcinoma of the lung was diagnosed on the basis of ultrasound-guided biopsy of a shadow in the liver suspected of being a metastatic tumor (T2N3M1, Stage IV). Two courses of chemotherapy (CBCDA + VDS) failed to gain any improvement, and the pain resulting from recurrent bone metastases was managed mainly by the administration of the best supportive care. The patient was readmitted to the hospital after development of numbness in the right upper extremity followed by complication of pneumonia and heart failure, and he passed away. Autopsy revealed a primary hilar lung tumor with a histological diagnosis of poorly differentiated adenocarcinoma.

UR - http://www.scopus.com/inward/record.url?scp=0034573949&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034573949&partnerID=8YFLogxK

M3 - Article

C2 - 11192985

AN - SCOPUS:0034573949

VL - 49

SP - 162

EP - 172

JO - Keio Journal of Medicine

JF - Keio Journal of Medicine

SN - 0022-9717

IS - 4

ER -