Massive malignant pleural effusion due to lung adenocarcinoma in 13-year-old boy

Asian Cardiovasc Thorac Ann. 2016 May;24(4):389-92. doi: 10.1177/0218492316633011. Epub 2016 Feb 8.

Abstract

A 13-year-old boy with no risk factors for lung cancer presented with a massive left-sided pleural effusion and a mediastinal shift on chest radiography and computed tomography. A chest tube drained bloody pleural fluid with an exudative pattern. A pleural biopsy and wedge biopsy of the left lower lobe revealed mucinous adenocarcinoma in the left lower lobe wedge biopsy and metastatic adenocarcinoma in the pleural biopsy. The patient is currently undergoing chemotherapy. Radiotherapy is planned after shrinkage of the tumor. Adenocarcinoma of the lung is very rarely seen in teenagers or children, especially in the absence of risk factors.

Keywords: Adenocarcinoma; Lung; Malignant; Pleural effusion.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / complications*
  • Adenocarcinoma / diagnostic imaging
  • Adenocarcinoma / drug therapy
  • Adenocarcinoma / pathology
  • Adenocarcinoma of Lung
  • Adenocarcinoma, Mucinous / complications*
  • Adenocarcinoma, Mucinous / diagnostic imaging
  • Adenocarcinoma, Mucinous / drug therapy
  • Adenocarcinoma, Mucinous / secondary
  • Adolescent
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Biopsy
  • Cisplatin / administration & dosage
  • Deoxycytidine / administration & dosage
  • Deoxycytidine / analogs & derivatives
  • Drainage
  • Gemcitabine
  • Humans
  • Lung Neoplasms / complications*
  • Lung Neoplasms / diagnostic imaging
  • Lung Neoplasms / drug therapy
  • Lung Neoplasms / pathology
  • Male
  • Pleural Effusion, Malignant / diagnostic imaging
  • Pleural Effusion, Malignant / etiology*
  • Pleural Effusion, Malignant / therapy
  • Tomography, X-Ray Computed

Substances

  • Deoxycytidine
  • Cisplatin
  • Gemcitabine