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Clear cell adenocarcinoma with endobronchial polypoid growth
A Iyoda1, K Hiroshima, T Toyozaki
1Division of Pathology, Chiba University School of Medicine, Chiba, Japan.
Pathology International
|December 21, 2000
Summary
A rare clear cell adenocarcinoma of the lung was found in a 45-year-old female. Surgical resection confirmed the diagnosis, highlighting this uncommon lung cancer presentation.
Area of Science:
- Pulmonology
- Oncology
- Pathology
Background:
- Clear cell adenocarcinoma of the lung is an exceptionally rare pulmonary neoplasm.
- Early diagnosis and treatment are crucial for managing lung cancers.
Observation:
- A 45-year-old female presented with fever and an abnormal shadow in the left lower lung field on radiography.
- Bronchoscopy revealed a polypoid tumor obstructing the left bronchus.
Findings:
- Biopsy confirmed adenocarcinoma; microscopic examination showed tumor cells with abundant glycogen and solid/glandular structures.
- The tumor completely obstructed the left lower bronchus without invading beyond the bronchial wall.
- The patient underwent successful left lower lobectomy with bronchial wedge resection.
Implications:
- This case underscores the importance of considering rare histological subtypes in lung cancer diagnosis.
- Accurate pathological diagnosis is essential for appropriate treatment strategies in pulmonary adenocarcinoma.