[Pleomorphic carcinoma of the lung: a case report].

Abstract:

:Pleomorphic carcinoma is a rare malignancy belonging to the family of nonsmall cell lung cancers. A 40-year-old man, a smoker, was hospitalized for thoracic pain and dry cough with a deteriorating general condition. The imaging showed a "drop ball" of both lungs. The pathological evidence was obtained by lung biopsy under scanographic control. The presence of supraclavicular and abdominal nodes classified the tumour as stage IV. The patient received six cycles of first-line chemotherapy associating cisplatin and vinorelbine. However, the disease continued to progress and distant metastases were observed. The patient died 6 months after the diagnosis. Pleomorphic carcinoma is identified by purely histological criteria: the concomitant presence of malignant epithelial and homologous sarcomatoid spindle-cell components. Like the other nonsmall cell lung cancers, the treatment is primarily surgical, and the invasive nature of this tumour makes it very difficult. Pleomorphic carcinoma has a poorer prognosis than conventional nonsmall cell lung cancers despite surgery, irradiation and chemotherapy, because relapse occurs early.

journal_name

Rev Pneumol Clin

authors

Tazi EM,Essadi I,Arifi S,Ichou M,Errihani H

doi

10.1016/j.pneumo.2010.04.002

subject

Has Abstract

pub_date

2011-06-01 00:00:00

pages

163-6

issue

3

eissn

0761-8417

issn

1776-2561

pii

S0761-8417(10)00112-4

journal_volume

67

pub_type

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