Coal Worker's Pneumoconiosis Mimicking Lung Cancer in a 75‐Year‐Old Woman With a History of Breast Cancer: A Clinical Case Report
ABSTRACT Pneumoconiosis, caused by inhaling mineral dust, remains a significant occupational disease, despite a declining incidence. Coal workers' pneumoconiosis (CWP), a common subtype, varies in presentation from simple to complicated forms. Differential diagnosis is crucial, especially when...
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| Format: | Article |
| Language: | English |
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Wiley
2025-01-01
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| Series: | Clinical Case Reports |
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| Online Access: | https://doi.org/10.1002/ccr3.70049 |
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| author | Yeganeh Pakbaz Farzan Moodi |
| author_facet | Yeganeh Pakbaz Farzan Moodi |
| author_sort | Yeganeh Pakbaz |
| collection | DOAJ |
| description | ABSTRACT Pneumoconiosis, caused by inhaling mineral dust, remains a significant occupational disease, despite a declining incidence. Coal workers' pneumoconiosis (CWP), a common subtype, varies in presentation from simple to complicated forms. Differential diagnosis is crucial, especially when CWP manifests as lung masses mimicking malignancy. We present a case of CWP in a 75‐year‐old female with a history of breast cancer, initially suspected of lung cancer due to an incidental mass on chest radiography. Clinical examination, laboratory tests, chest tomography, and biopsy were conducted. The patient, with a history of biomass fuel exposure, presented with a left upper lung mass, initially thought to be lung cancer. Biopsy‐induced hemopneumothorax led to intensive care admission. Histopathology confirmed CWP and conservative management resulted in recovery. Imaging revealed a solid mass in the left upper lung with lymphadenopathy. Histopathology showed carbon‐laden macrophages and anthracosis, consistent with CWP. Imaging modalities, including MRI and FDG‐PET/CT, aid in differentiating CWP from cancer. CWP, mimicking lung cancer, underscores the importance of accurate diagnosis. Imaging features, including nodules with calcifications, guide diagnosis. MRI and FDG‐PET/CT offer valuable insights, albeit with limitations, emphasizing the need for judicious use based on clinical suspicion. |
| format | Article |
| id | doaj-art-23140f5ad1954673b580451139db0ca1 |
| institution | Kabale University |
| issn | 2050-0904 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj-art-23140f5ad1954673b580451139db0ca12025-01-24T05:08:46ZengWileyClinical Case Reports2050-09042025-01-01131n/an/a10.1002/ccr3.70049Coal Worker's Pneumoconiosis Mimicking Lung Cancer in a 75‐Year‐Old Woman With a History of Breast Cancer: A Clinical Case ReportYeganeh Pakbaz0Farzan Moodi1School of Medicine Iran University of Medical Sciences Tehran IranSchool of Medicine Iran University of Medical Sciences Tehran IranABSTRACT Pneumoconiosis, caused by inhaling mineral dust, remains a significant occupational disease, despite a declining incidence. Coal workers' pneumoconiosis (CWP), a common subtype, varies in presentation from simple to complicated forms. Differential diagnosis is crucial, especially when CWP manifests as lung masses mimicking malignancy. We present a case of CWP in a 75‐year‐old female with a history of breast cancer, initially suspected of lung cancer due to an incidental mass on chest radiography. Clinical examination, laboratory tests, chest tomography, and biopsy were conducted. The patient, with a history of biomass fuel exposure, presented with a left upper lung mass, initially thought to be lung cancer. Biopsy‐induced hemopneumothorax led to intensive care admission. Histopathology confirmed CWP and conservative management resulted in recovery. Imaging revealed a solid mass in the left upper lung with lymphadenopathy. Histopathology showed carbon‐laden macrophages and anthracosis, consistent with CWP. Imaging modalities, including MRI and FDG‐PET/CT, aid in differentiating CWP from cancer. CWP, mimicking lung cancer, underscores the importance of accurate diagnosis. Imaging features, including nodules with calcifications, guide diagnosis. MRI and FDG‐PET/CT offer valuable insights, albeit with limitations, emphasizing the need for judicious use based on clinical suspicion.https://doi.org/10.1002/ccr3.70049Anthracosiscase reportcoal worker pneumoconiosislung cancerprogressive massive fibrosis |
| spellingShingle | Yeganeh Pakbaz Farzan Moodi Coal Worker's Pneumoconiosis Mimicking Lung Cancer in a 75‐Year‐Old Woman With a History of Breast Cancer: A Clinical Case Report Clinical Case Reports Anthracosis case report coal worker pneumoconiosis lung cancer progressive massive fibrosis |
| title | Coal Worker's Pneumoconiosis Mimicking Lung Cancer in a 75‐Year‐Old Woman With a History of Breast Cancer: A Clinical Case Report |
| title_full | Coal Worker's Pneumoconiosis Mimicking Lung Cancer in a 75‐Year‐Old Woman With a History of Breast Cancer: A Clinical Case Report |
| title_fullStr | Coal Worker's Pneumoconiosis Mimicking Lung Cancer in a 75‐Year‐Old Woman With a History of Breast Cancer: A Clinical Case Report |
| title_full_unstemmed | Coal Worker's Pneumoconiosis Mimicking Lung Cancer in a 75‐Year‐Old Woman With a History of Breast Cancer: A Clinical Case Report |
| title_short | Coal Worker's Pneumoconiosis Mimicking Lung Cancer in a 75‐Year‐Old Woman With a History of Breast Cancer: A Clinical Case Report |
| title_sort | coal worker s pneumoconiosis mimicking lung cancer in a 75 year old woman with a history of breast cancer a clinical case report |
| topic | Anthracosis case report coal worker pneumoconiosis lung cancer progressive massive fibrosis |
| url | https://doi.org/10.1002/ccr3.70049 |
| work_keys_str_mv | AT yeganehpakbaz coalworkerspneumoconiosismimickinglungcancerina75yearoldwomanwithahistoryofbreastcanceraclinicalcasereport AT farzanmoodi coalworkerspneumoconiosismimickinglungcancerina75yearoldwomanwithahistoryofbreastcanceraclinicalcasereport |