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The Egyptian Journal of Internal Medicine
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Adenocarcinoma of the lung masquerading as miliary mottling: a rare presentation

The Egyptian Journal of Internal Medicine volume 27, pages 118–120 (2015)Cite this article

Abstract

Bronchogenic carcinoma usually presents as a mass lesion associated with variable degrees of lung collapse and associated effusion. Although primaries from other sites such as thyroid, choriocarcinoma, and sarcomas may present as miliary mottling, bronchogenic carcinoma presenting this way is uncommon. We present here the case of a 62-year-old housewife, who presented with bilateral miliary shadows on chest radiography and was treated for pulmonary tuberculosis on the basis of history and radiological findings. As the disease advanced, the diagnosis of primary adenocarcinoma of the lung was made.

References

  1. Eisenberg RL. Clinical imaging: an atlas of differential diagnoses 2nd ed. Gaithersburg, MD: Aspen Publishers; 1992: 56–59.

    Google Scholar 

  2. Jayaram Subhashchandra B, Ismailkhan M, Chikkaveeraiah Shashidhar K, Gopalakrishna Narahari M. A rare case of non-small cell carcinoma of lung presenting as miliary mottling. Iran J Med Sci 2013; 38: 65–68.

    PubMed  PubMed Central  Google Scholar 

  3. Umeki S. Association of miliary lung metastases and bone metastases in bronchogenic carcinoma. Chest 1993; 104: 948–950.

    Article  CAS  Google Scholar 

  4. Zhou C, Wu YL, Chen G, Feng J, Liu XQ, Wang C, et al. Erlotinib versus chemotherapy as first-line treatment for patients with advanced EGFR mutation-positive non-small-cell lung cancer (OPTIMAL, CTONG-0802): a multicentre, open-label, randomised, phase 3 study. Lancet Oncol 2011; 12: 735–742.

    Article  CAS  Google Scholar 

  5. Shaw AT, Kim DW, Nakagawa K, Seto T, Crinó L, Ahn MJ, et al. Crizotinib versus chemotherapy in advanced ALK-positive lung cancer. N Engl J Med 2013; 368: 2385–2394.

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Metro Center for Respiratory Diseases, Metro Multispecialty Hospital, 201301, Noida, Uttar Pradesh, India

    Deepak K. Prajapat, Arjun Khanna MD, DM & Deepak Talwar

Authors
  1. Deepak K. Prajapat
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  2. Arjun Khanna MD, DM
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  3. Deepak Talwar
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Corresponding author

Correspondence to Arjun Khanna MD, DM.

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Prajapat, D.K., Khanna, A. & Talwar, D. Adenocarcinoma of the lung masquerading as miliary mottling: a rare presentation. Egypt J Intern Med 27, 118–120 (2015). https://doi.org/10.4103/1110-7782.165451

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  • DOI: https://doi.org/10.4103/1110-7782.165451

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