Small-Cell Lung Carcinoma Associated With Cystic Airspaces: A Case Report
Small-cell lung carcinoma (SCLC) associated with cystic airspaces is rare. We describe the case of a 68-year-old man who was referred to our hospital because of a cystic lesion detected on chest radiography. Initial computed tomography revealed a small nodule abutting the cystic airspace due to para...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2025-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/carm/5314337 |
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| author | Hirokazu Touge Haruki Masui Mitsuhiro Yamamoto Tomoyuki Ikeuchi Tomohiro Sakamoto Katsuyuki Tomita Akira Yamasaki |
| author_facet | Hirokazu Touge Haruki Masui Mitsuhiro Yamamoto Tomoyuki Ikeuchi Tomohiro Sakamoto Katsuyuki Tomita Akira Yamasaki |
| author_sort | Hirokazu Touge |
| collection | DOAJ |
| description | Small-cell lung carcinoma (SCLC) associated with cystic airspaces is rare. We describe the case of a 68-year-old man who was referred to our hospital because of a cystic lesion detected on chest radiography. Initial computed tomography revealed a small nodule abutting the cystic airspace due to paraseptal emphysema in the right lower lobe. Histopathological examination of lymphadenopathy indicated SCLC. Postchemotherapy, recurrence appeared as a thick-walled cystic airspace with an exophytic nodule along the cyst wall, mimicking pneumonia. Additional chemotherapy, but not antibiotic therapy, led to a reduction in the wall thickness and nodules. This case emphasizes unresponsiveness to antibiotic therapy, especially in patients with risk factors, highlighting the diagnostic pitfall that may delay timely cancer treatment. |
| format | Article |
| id | doaj-art-4e242f7c5c5d40b4854dcccf23adddf9 |
| institution | DOAJ |
| issn | 1687-9635 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-4e242f7c5c5d40b4854dcccf23adddf92025-08-20T03:09:08ZengWileyCase Reports in Medicine1687-96352025-01-01202510.1155/carm/5314337Small-Cell Lung Carcinoma Associated With Cystic Airspaces: A Case ReportHirokazu Touge0Haruki Masui1Mitsuhiro Yamamoto2Tomoyuki Ikeuchi3Tomohiro Sakamoto4Katsuyuki Tomita5Akira Yamasaki6Department of Respiratory MedicineCenter for Clinical Residency ProgramDepartment of Respiratory MedicineDepartment of Respiratory MedicineDivision of Respiratory Medicine and RheumatologyDepartment of Respiratory MedicineDivision of Respiratory Medicine and RheumatologySmall-cell lung carcinoma (SCLC) associated with cystic airspaces is rare. We describe the case of a 68-year-old man who was referred to our hospital because of a cystic lesion detected on chest radiography. Initial computed tomography revealed a small nodule abutting the cystic airspace due to paraseptal emphysema in the right lower lobe. Histopathological examination of lymphadenopathy indicated SCLC. Postchemotherapy, recurrence appeared as a thick-walled cystic airspace with an exophytic nodule along the cyst wall, mimicking pneumonia. Additional chemotherapy, but not antibiotic therapy, led to a reduction in the wall thickness and nodules. This case emphasizes unresponsiveness to antibiotic therapy, especially in patients with risk factors, highlighting the diagnostic pitfall that may delay timely cancer treatment.http://dx.doi.org/10.1155/carm/5314337 |
| spellingShingle | Hirokazu Touge Haruki Masui Mitsuhiro Yamamoto Tomoyuki Ikeuchi Tomohiro Sakamoto Katsuyuki Tomita Akira Yamasaki Small-Cell Lung Carcinoma Associated With Cystic Airspaces: A Case Report Case Reports in Medicine |
| title | Small-Cell Lung Carcinoma Associated With Cystic Airspaces: A Case Report |
| title_full | Small-Cell Lung Carcinoma Associated With Cystic Airspaces: A Case Report |
| title_fullStr | Small-Cell Lung Carcinoma Associated With Cystic Airspaces: A Case Report |
| title_full_unstemmed | Small-Cell Lung Carcinoma Associated With Cystic Airspaces: A Case Report |
| title_short | Small-Cell Lung Carcinoma Associated With Cystic Airspaces: A Case Report |
| title_sort | small cell lung carcinoma associated with cystic airspaces a case report |
| url | http://dx.doi.org/10.1155/carm/5314337 |
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