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[Lung metastases of pancreatic adenocarcinoma: Watch for the second train!]

Authors
  • Ropars, C1
  • Kerjouan, M2
  • Larible, C3
  • Llamas Gutierrez, F4
  • Léderlin, M5
  • De Latour, B6
  • Desrues, B7
  • Jouneau, S8
  • 1 Service de pneumologie, hôpital Pontchaillou, 2, rue Henri-Le-Guilloux, 35033 Rennes cedex 9, France. Electronic address: [email protected] , (France)
  • 2 Service de pneumologie, hôpital Pontchaillou, 2, rue Henri-Le-Guilloux, 35033 Rennes cedex 9, France. , (France)
  • 3 Service d'oncologie médicale, centre Eugène-Marquis, avenue de la Bataille Flandres-Dunkerque, 35042 Rennes cedex, France. , (France)
  • 4 Service d'anatomopathologie, hôpital Pontchaillou, 2, rue Henri-Le-Guilloux, 35033 Rennes cedex 9, France. , (France)
  • 5 Service de radiologie, hôpital Pontchaillou, 2, rue Henri-Le-Guilloux, 35033 Rennes cedex 9, France; LTSI, Inserm U1099, université de Rennes 1, 2, avenue du Pr Léon-Bernard, 35043 Rennes, France. , (France)
  • 6 Service de chirurgie thoracique et cardiovasculaire, université de Rennes 1, hôpital Pontchaillou, 2, rue Henri-Le-Guilloux, 35033 Rennes cedex 9, France. , (France)
  • 7 Service de pneumologie, hôpital Pontchaillou, 2, rue Henri-Le-Guilloux, 35033 Rennes cedex 9, France; Université de Rennes 1, 2, avenue du Pr Léon-Bernard, 35043 Rennes, France. , (France)
  • 8 Service de pneumologie, hôpital Pontchaillou, 2, rue Henri-Le-Guilloux, 35033 Rennes cedex 9, France; Irset UMR 1085, université de Rennes 1, 2, avenue du Pr Léon-Bernard, 35043 Rennes, France. , (France)
Type
Published Article
Journal
Revue des maladies respiratoires
Publication Date
Jun 01, 2019
Volume
36
Issue
6
Pages
738–741
Identifiers
DOI: 10.1016/j.rmr.2019.04.005
PMID: 31230848
Source
Medline
Keywords
Language
French
License
Unknown

Abstract

Pulmonary metastases due to a pancreatic cancer are difficult to diagnose and demonstrate a wide range of radiological patterns. We report the case of a 37-year-old female patient, without past medical history, with multicystic lung disease in a context of chronic abdominal pain, fatigue and weight loss. After several months of diagnostic delay, pathological examination of surgical lung biopsies led to the diagnosis of secondary deposits of pancreatic cancer. The clinical and radiogical situation deteriorated quickly with the development of alveolar consolidation and Aspergillus superinfection was then diagnosed. This case illustrates the value of an early decision to undertake surgical lung biopsy in the work-up of multicystic lung disease when cancer is suspected. In addition, in the specific context of cancer, faced with clinical and/or radiological deterioration, it is essential to look for infection, particularly aspergillosis. Copyright © 2019 SPLF. Published by Elsevier Masson SAS. All rights reserved.

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