Interstitial Lung Disease and Colorectal Cancer, a case report
- Hernández Betancor, Iván
- González Reimers, Carlos Emilio
- García Hernández, Sonia
- Fernández Nieto, Marina
- Santolaria Fernández, Francisco
- Hernández Rodríguez, Helena
- Sánchez Pérez, María José
ISSN: 1697-5529
Year of publication: 2013
Issue: 9
Pages: 13-18
Type: Article
More publications in: Majorensis: Revista Electrónica de Ciencia y Tecnología
Abstract
Diffuse interstitial lung disease encompasses a wide spectrum of entities. The most frequently observed are those related to diverse forms of lung fibrosis,some of them associated with inmmune disorders. Rarely a bronchioloalveolar carcinoma may mimic the radiological appareance of an interstitial lung disease. There are three different histological patterns of bronchioloalveolar carcinoma: mucinous, nonmucinous and mixed mucinous and nonmucinous or indeterminate form. This last form may raise differential diagnosis with colonic adenocarcinoma. Distinction between these two processes may be difficult, even with the aid of immunohistochemistry. We here present the case of a 79 years old male patient, affected by arterial hypertension, who was admitted to our unit complaining dyspnea and swollen legs; after appropriate therapy the radiological pattern was consistent with pulmonary fibrosis, leading to lung biopsy, which results strongly suggest metastatic colon adenocarcinoma.