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Case Reports
A Case of Invasive Mucinous Adenocarcinoma with Acute Respiratory Distress Syndrome Diagnosed by Autopsy Findings.
- Muneo Kawasumi, Yusuke Araki, Mineyo Mito, Kazuhide Fukuhara, Junichi Zaitsu, Kazuya Kuraoka, and Tadashi Senoo.
- The Clinical Training Center, National Hospital Organization, Kure Medical Center and Chugoku Cancer Center, Japan.
- Intern. Med. 2023 Jul 15; 62 (14): 210721112107-2111.
AbstractWe herein report a fatal case of invasive mucinous adenocarcinoma (IMA) with acute respiratory distress syndrome (ARDS) diagnosed based on autopsy findings. A 76-year-old man presented with severe respiratory discomfort on admission. Computed tomography (CT) revealed a peripheral distribution of consolidation. Although his respiratory status improved after steroid therapy, re-exacerbation occurred, and the patient died on day 131. A bronchoscopic lung biopsy had shown organizing pneumonia, but a post-mortem examination surprisingly revealed IMA with organizing pneumonia. IMA presenting with ARDS as the first symptom is extremely rare.
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