Middle lobe syndrome: An exceptional presentation of concomitant lepidic adenocarcinoma and bronchial anthracofibrosis

  • Shekhar Kunal University of Delhi, Department of Pulmonary Medicine, India.
  • Sudhir Jain Nayati Medicity, Department of Pathology, India.
  • Ashok Shah | ashokshah99@yahoo.com University of Delhi, Department of Pulmonary Medicine, India.

Abstract

Lepidic adenocarcinoma previously known as bronchioloalveolar carcinoma (BAC) is a non-small cell lung cancer with an indolent presentation. Bronchial anthracofibrosis (BAF) is caused by long-standing exposure to biomass fuel smoke often in poorly ventilated kitchen. Middle lobe syndrome (MLS) due to BAF is not uncommon however, lepidic adenocarcinoma then known as BAC, presenting as MLS has been documented only once before in the Polish literature. A 68-year-old never-smoker female with biomass fuel smoke exposure presented with cough and breathlessness. Imaging revealed MLS. Fiberoptic bronchoscopy visualised bluish-black hyperpigmentation with narrowing and distortion of right middle lobe bronchus suggestive of BAF. Transbronchial biopsy confirmed presence of lepidic adenocarcinoma. To our knowledge, this is the first detailed description of lepidic adenocarcinoma and BAF presenting as MLS. 

Downloads

Download data is not yet available.

METRICS

PlumX Metrics provide insights into the ways people interact with individual pieces of research output (articles, conference proceedings, book chapters, and many more) in the online environment. Examples include, when research is mentioned in the news or is tweeted about. Collectively known as PlumX Metrics, these metrics are divided into five categories to help make sense of the huge amounts of data involved and to enable analysis by comparing like with like.

Author Biographies

Shekhar Kunal, University of Delhi, Department of Pulmonary Medicine

Junior Resident,
Department of Pulmonary Medicine

Sudhir Jain, Nayati Medicity, Department of Pathology

Senior Consultant Pathologist

Department of Pathology

Ashok Shah, University of Delhi, Department of Pulmonary Medicine

Director Professor,
Department of Pulmonary Medicine

Published
2017-12-19
Info
Issue
Section
Pneumology - Case Reports
Keywords:
Biomass fuel smoke exposure, bronchial anthracofibrosis, lepidic adenocarcinoma, fibreoptic bronchoscopy, high resolution computed tomography.
Statistics
  • Abstract views: 454

  • PDF: 347
How to Cite
Kunal, S., Jain, S., & Shah, A. (2017). Middle lobe syndrome: An exceptional presentation of concomitant lepidic adenocarcinoma and bronchial anthracofibrosis. Monaldi Archives for Chest Disease, 87(3). https://doi.org/10.4081/monaldi.2017.864