open access

Vol 88, No 1 (2020)
Case report
Published online: 2020-02-28
Submitted: 2019-05-31
Accepted: 2019-11-14
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Double or nothing: old chest X-ray as a clue to lung mass

Ralph Llewel Sabang, Sevak Keshishyan, Christian Salib, Qiqi Ye, Liying Han, Anna Rozenshtein, Oleg Epelbaum
DOI: 10.5603/ARM.2020.0076
·
Pubmed: 32153006
·
Adv Respir Med 2020;88(1):31-34.

open access

Vol 88, No 1 (2020)
CASE REPORTS
Published online: 2020-02-28
Submitted: 2019-05-31
Accepted: 2019-11-14

Abstract

Mucoepidermoid carcinoma is a young person’s lung cancer with no apparent causal connection to smoking. It exhibits slow growth, which can make it challenging to detect changes in size on serial chest imaging. Another way of describing its growth pattern is that mucoepidermoid carcinoma has an unusually long volume doubling time. We describe a case of an incidental lung nodule diagnosed as mucoepidermoid carcinoma in which a prior chest radiograph provided a clue to the indolent nature of the abnormality and therefore argued against typical lung cancer. In the same context, we underscore the value of volumetric analy-sis in improving the accuracy of nodule growth determinations, which further strengthens the argument that the importance of locating prior imaging has not diminished in contemporary pulmonary practice.

Abstract

Mucoepidermoid carcinoma is a young person’s lung cancer with no apparent causal connection to smoking. It exhibits slow growth, which can make it challenging to detect changes in size on serial chest imaging. Another way of describing its growth pattern is that mucoepidermoid carcinoma has an unusually long volume doubling time. We describe a case of an incidental lung nodule diagnosed as mucoepidermoid carcinoma in which a prior chest radiograph provided a clue to the indolent nature of the abnormality and therefore argued against typical lung cancer. In the same context, we underscore the value of volumetric analy-sis in improving the accuracy of nodule growth determinations, which further strengthens the argument that the importance of locating prior imaging has not diminished in contemporary pulmonary practice.

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Keywords

mucoepidermoid carcinoma; lung cancer; lung mass; volume doubling time; volumetric analysis

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About this article
Title

Double or nothing: old chest X-ray as a clue to lung mass

Journal

Advances in Respiratory Medicine

Issue

Vol 88, No 1 (2020)

Article type

Case report

Pages

31-34

Published online

2020-02-28

DOI

10.5603/ARM.2020.0076

Pubmed

32153006

Bibliographic record

Adv Respir Med 2020;88(1):31-34.

Keywords

mucoepidermoid carcinoma
lung cancer
lung mass
volume doubling time
volumetric analysis

Authors

Ralph Llewel Sabang
Sevak Keshishyan
Christian Salib
Qiqi Ye
Liying Han
Anna Rozenshtein
Oleg Epelbaum

References (7)
  1. Geddes DM. The natural history of lung cancer: a review based on rates of tumour growth. Br J Dis Chest. 1979; 73(1): 1–17.
  2. Arai T, Kuroishi T, Saito Y, et al. Tumor doubling time and prognosis in lung cancer patients: evaluation from chest films and clinical follow-up study. Japanese Lung Cancer Screening Research Group. Jpn J Clin Oncol. 1994; 24(4): 199–204.
  3. Revel MP, Bissery A, Bienvenu M, et al. Are two-dimensional CT measurements of small noncalcified pulmonary nodules reliable? Radiology. 2004; 231(2): 453–458.
  4. Devaraj A, van Ginneken B, Nair A, et al. Use of volumetry for lung nodule management: theory and practice. Radiology. 2017; 284(3): 630–644.
  5. Komiya T, Perez RP, Yamamoto S, et al. Primary lung mucoepidermoid carcinoma: analysis of prognostic factors using surveillance, epidemiology and end results program. Clin Respir J. 2017; 11(6): 847–853.
  6. Travis WD, Brambilla E, Nicholson AG, et al. The 2015 World Health Organization Classification of Lung Tumors: Impact of Genetic, Clinical and Radiologic Advances Since the 2004 Classification. J Thorac Oncol. 2015; 10(9): 1243–1260.
  7. Yousem SA, Hochholzer L. Mucoepidermoid tumors of the lung. Cancer. 1987; 60(6): 1346–1352.

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