Disseminated small-cell lung cancer in a pulmonologist’s practice

DOI: https://doi.org/10.29296/25877305-2019-04-12
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Issue: 
4
Year: 
2019

Professor E. Borodulina, MD; E. Yakovleva Samara State Medical University

Difficulties in diagnosing disseminated lung diseases are explained by the presence of similar nonspecific manifestations in different etiologies, pathogenesis, and morphology. Patients with disseminated small-cell lung cancer (SCLC) are long followed up and treated if they are diagnosed as having disseminated tuberculosis, pneumonia, and alveolitis. SCLC is characterized by rapid progression, early lymphogenic and hematogenous metastastic spread. The given case demonstrates objective difficulties in a differential diagnostic search from the moment of hospital admission to the final diagnosis. Despite the widespread use of highly informative (both visualization and laboratory) methods for examining patients with pulmonary diseases, the differential diagnosis of disseminated lung processes leads to problems in a physician’s practice. Lifetime verification of pulmonary disseminations is not always possible, which creates prerequisites for their further comprehensive study.

Keywords: 
pulmonology
oncology
pulmonary dissemination syndrome
small-cell lung cancer
pneumonia
tuberculosis
alveolitis



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