EGFR-Mutant Lung Adenocarcinoma Mimicking a Pneumonia

PET-CT scan has demonstrated to be very effective in lung cancer diagnosis and staging, but lung cancer has multiple ways of presentation, which can lead to an error in diagnosis imaging and a delay on the beginning of specific treatment. We present a case of a 77-year-old man with an initial PET-CT...

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Main Authors: Álvaro Taus, Flavio Zuccarino, Carlos Trampal, Edurne Arriola
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Pulmonology
Online Access:http://dx.doi.org/10.1155/2012/257827
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author Álvaro Taus
Flavio Zuccarino
Carlos Trampal
Edurne Arriola
author_facet Álvaro Taus
Flavio Zuccarino
Carlos Trampal
Edurne Arriola
author_sort Álvaro Taus
collection DOAJ
description PET-CT scan has demonstrated to be very effective in lung cancer diagnosis and staging, but lung cancer has multiple ways of presentation, which can lead to an error in diagnosis imaging and a delay on the beginning of specific treatment. We present a case of a 77-year-old man with an initial PET-CT scan showing high 18F-FDG intake, suggesting a bilateral pneumonia, who was finally diagnosed of an EGFR-mutant lung adenocarcinoma. EGFR-activating mutation allowed us to start treatment with the oral tyrosin kinase inhibitor Gefitinib, obtaining a rapid and sustained response. Histological confirmation of imaging findings is always necessary to avoid diagnostic errors.
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issn 2090-6846
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language English
publishDate 2012-01-01
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record_format Article
series Case Reports in Pulmonology
spelling doaj-art-491fbabed6b0476e8c4ddca5963cd79b2025-02-03T01:00:03ZengWileyCase Reports in Pulmonology2090-68462090-68542012-01-01201210.1155/2012/257827257827EGFR-Mutant Lung Adenocarcinoma Mimicking a PneumoniaÁlvaro Taus0Flavio Zuccarino1Carlos Trampal2Edurne Arriola3Medical Oncology Department, Hospital del Mar-Parc de Salut Mar, Passeig Maritim 25-29, 08003 Barcelona, SpainRadiology Department, IDIMAS-CRC, Hospital del Mar, Passeig Maritim 25-29, 08003 Barcelona, SpainPET Unit Molecular Imaging Center, CRC CIM-CRC Mar, Passeig Maritim 25-29, 08003 Barcelona, SpainMedical Oncology Department, Hospital del Mar-Parc de Salut Mar, Passeig Maritim 25-29, 08003 Barcelona, SpainPET-CT scan has demonstrated to be very effective in lung cancer diagnosis and staging, but lung cancer has multiple ways of presentation, which can lead to an error in diagnosis imaging and a delay on the beginning of specific treatment. We present a case of a 77-year-old man with an initial PET-CT scan showing high 18F-FDG intake, suggesting a bilateral pneumonia, who was finally diagnosed of an EGFR-mutant lung adenocarcinoma. EGFR-activating mutation allowed us to start treatment with the oral tyrosin kinase inhibitor Gefitinib, obtaining a rapid and sustained response. Histological confirmation of imaging findings is always necessary to avoid diagnostic errors.http://dx.doi.org/10.1155/2012/257827
spellingShingle Álvaro Taus
Flavio Zuccarino
Carlos Trampal
Edurne Arriola
EGFR-Mutant Lung Adenocarcinoma Mimicking a Pneumonia
Case Reports in Pulmonology
title EGFR-Mutant Lung Adenocarcinoma Mimicking a Pneumonia
title_full EGFR-Mutant Lung Adenocarcinoma Mimicking a Pneumonia
title_fullStr EGFR-Mutant Lung Adenocarcinoma Mimicking a Pneumonia
title_full_unstemmed EGFR-Mutant Lung Adenocarcinoma Mimicking a Pneumonia
title_short EGFR-Mutant Lung Adenocarcinoma Mimicking a Pneumonia
title_sort egfr mutant lung adenocarcinoma mimicking a pneumonia
url http://dx.doi.org/10.1155/2012/257827
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AT flaviozuccarino egfrmutantlungadenocarcinomamimickingapneumonia
AT carlostrampal egfrmutantlungadenocarcinomamimickingapneumonia
AT edurnearriola egfrmutantlungadenocarcinomamimickingapneumonia