International Journal of
Medicine and Medical Sciences

  • Abbreviation: Int. J. Med. Med. Sci.
  • Language: English
  • ISSN: 2006-9723
  • DOI: 10.5897/IJMMS
  • Start Year: 2009
  • Published Articles: 535

Case Report

A very rare and aggressive lung tumor

Claudia Cordoba-Carrillo
  • Claudia Cordoba-Carrillo
  • Pulmonary Medicine Department, San Juan City Hospital, P. M. B. 463 P. O. Box 70344 San Juan, PR 00936 San Juan, Puerto Rico.
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José Nieves-Nieves
  • José Nieves-Nieves
  • Pulmonary Medicine Department, San Juan City Hospital, P. M. B. 463 P. O. Box 70344 San Juan, PR 00936 San Juan, Puerto Rico.
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Viridiana Salinas-González
  • Viridiana Salinas-González
  • Pulmonary Medicine Department, San Juan City Hospital, P. M. B. 463 P. O. Box 70344 San Juan, PR 00936 San Juan, Puerto Rico.
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María Christina Betancourt-Quiles
  • María Christina Betancourt-Quiles
  • Pulmonary Medicine Department, San Juan City Hospital, P. M. B. 463 P. O. Box 70344 San Juan, PR 00936 San Juan, Puerto Rico.
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Rosángela Fernández-Medero
  • Rosángela Fernández-Medero
  • Pulmonary Medicine Department, San Juan City Hospital, P. M. B. 463 P. O. Box 70344 San Juan, PR 00936 San Juan, Puerto Rico.
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Ricardo Fernández-González
  • Ricardo Fernández-González
  • Pulmonary Medicine Department, San Juan City Hospital, P. M. B. 463 P. O. Box 70344 San Juan, PR 00936 San Juan, Puerto Rico.
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José Lozada-Costas
  • José Lozada-Costas
  • Hematology and Oncology Department, San Juan City Hospital, San Juan, Puerto Rico.
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Melissa Sepúlveda-Ramos
  • Melissa Sepúlveda-Ramos
  • Pathology Department, University of Puerto Rico School of Medicine, San Juan, Puerto Rico.
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Román Vélez-Rosario
  • Román Vélez-Rosario
  • Pathology Department, University of Puerto Rico School of Medicine, San Juan, Puerto Rico.
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  •  Accepted: 29 March 2013
  •  Published: 30 May 2013

Abstract

Rhabdoid phenotype is an uncommon histopatholtogic malignancy found in <1% of pulmonary large cell carcinomas and is associated with an extremely poor prognosis. To our knowledge, merely forty-six cases have been reported in the literature with reasonable immunohistochemical discoveries allowing differentiation from other rhabdoid-like neoplasms though none acknowledged effective treatment of this exceedingly aggressive tumor. At this moment, there is no specific treatment for large cell cancer with rhabdoid phenotype for this subpopulation and most cases have been treated as non-small cell lung cancer. Herein presented is a case of a 63 year-old male non-smoker diagnosed with this aggressive tumor phenotype which had an aggressive behavior and unfortunate prognosis.  The main characteristics of the tumor and the most recent treatment options are discussed.

 

Key words: Pleural effusion, large cell lung carcinoma, rhabdoid phenotype, immunohistochemical stains, lung.