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1996-02-26
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Document 0195
DOCN M9620195
TI Neoplastic mimics of pneumonia.
DT 9602
AU Casey KR; Section of Pulmonary and Critical Care Medicine, Virginia
Mason; Medical Center, Seattle, WA 98111, USA.
SO Semin Respir Infect. 1995 Sep;10(3):131-42. Unique Identifier : AIDSLINE
MED/96087950
AB Several types of neoplastic conditions are included in the differential
diagnosis of pneumonia. Bronchial obstruction with cancer can produce
obstructive pneumonia that results in intractable infection.
Bronchogenic carcinoma and metastatic cancer involving the airways may
produce this clinical presentation. Bronchioloalveolar carcinoma is a
relatively common form of primary lung cancer that characteristically
presents as a chronic infiltrate associated with cough, hypoxemia,
shortness of breath, and mucus hypersecretion. This cancer has two
distinct histological types with markedly different prognosis. The
mucinous variety is much more likely to be multicentric and rapidly
progressive whereas the nonmucinous variety may be localized.
Lymphoproliferative diseases may also present in an infiltrative
appearance. Kaposi's sarcoma infiltrating the lungs, particularly
associated with acquired immune deficiency syndrome, presents a
diagnostic dilemma because of the high incidence of pulmonary infection
in these patients.
DE Adenocarcinoma, Bronchiolo-Alveolar/DIAGNOSIS Aged Carcinoma,
Bronchogenic/DIAGNOSIS Diagnosis, Differential Female Hodgkin's
Disease/DIAGNOSIS Human Lung Neoplasms/*DIAGNOSIS/SECONDARY Lymphatic
Metastasis Lymphoma, AIDS-Related/DIAGNOSIS Lymphoma,
Non-Hodgkin's/DIAGNOSIS Lymphomatoid Granulomatosis/DIAGNOSIS Male
Middle Age Pneumonia/*DIAGNOSIS Sarcoma, Kaposi's/DIAGNOSIS/SECONDARY
JOURNAL ARTICLE REVIEW REVIEW, TUTORIAL
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).