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A Case of Adenocarcinoma Presenting a Solitary Pulmonary Nodule that Grows Slowly Over 10 Years  

Kwon, Ki Du (Department of Internal Medicine, Soonchunhyang University College of Medicine)
Kim, Ji Hyeong (Department of Internal Medicine, Soonchunhyang University College of Medicine)
Kim, Dae Yong (Department of Internal Medicine, Soonchunhyang University College of Medicine)
Choi, Moon Han (Department of Internal Medicine, Soonchunhyang University College of Medicine)
Choi, Jae Huk (Department of Internal Medicine, Soonchunhyang University College of Medicine)
Shin, Dong Won (Department of Internal Medicine, Soonchunhyang University College of Medicine)
Choi, Jong Hyo (Department of Internal Medicine, Soonchunhyang University College of Medicine)
Yi, Sul Hee (Department of Internal Medicine, Soonchunhyang University College of Medicine)
Yun, Jin A (Department of Internal Medicine, Soonchunhyang University College of Medicine)
Choi, Jae Sung (Department of Internal Medicine, Soonchunhyang University College of Medicine)
Na, Ju Ok (Department of Internal Medicine, Soonchunhyang University College of Medicine)
Seo, Ki Hyun (Department of Internal Medicine, Soonchunhyang University College of Medicine)
Kim, Yong Hoon (Department of Internal Medicine, Soonchunhyang University College of Medicine)
Oh, Mi Hae (Department of Pathology, Soonchunhyang University College of Medicine)
Publication Information
Tuberculosis and Respiratory Diseases / v.64, no.4, 2008 , pp. 318-323 More about this Journal
Abstract
It is difficult to distinguish a lung cancer from a pulmonary tuberculoma or other benign nodule. It is even more difficult to identify the type of lesion if the mass shows no change in size or demonstrates slow growth. Only a pathological confirmation can possibly reveal the nature of the lesion. A 61-year-old-woman was referred for a solitary pulmonary nodule. The nodule showed no change in size for the first two years and continued to grow slowly. Pathological and immunological analyses were conducted for confirmation of the nodule. The nodule was identified as a well-differentiated primary pulmonary adenocarcinoma. An LULobectomy was performed, and the post surgical stage of the nodule was IIIA (T2N2M0). Even though there are few risk factors, there is still the possibility of a malignancy in cases of non-growing or slow growing solitary pulmonary nodules. Therefore, pathological confirmation is encouraged to obtain a firm diagnosis.
Keywords
Solitary pulmonary nodule; Slow growing lung cancer; Adenocarcinoma;
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