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Case Report

Double or Nothing: Old Chest X-ray as a Clue to Lung Mass

by
Ralph Llewel Sabang
1,*,
Sevak Keshishyan
2,
Christia Salib
3,
Qiqi Ye
3,
Liying Han
3,
Anna Rozenshtein
4 and
Oleg Epelbaum
2
1
Department of Internal Medicine, Westchester Medical Center, Valhalla, NY 10595, USA
2
Division of Pulmonary, Critical Care and Sleep Medicine, Westchester Medical Center, Valhalla, NY 10595, USA
3
Department of Pathology, Westchester Medical Center, Valhalla, NY 10595, USA
4
Department of Radiology,Westchester Medical Center, Valhalla, NY 10595, USA
*
Author to whom correspondence should be addressed.
Adv. Respir. Med. 2020, 88(1), 31-34; https://doi.org/10.5603/ARM.2020.0076
Submission received: 31 May 2019 / Revised: 14 November 2019 / Accepted: 14 November 2019 / Published: 28 February 2020

Abstract

Mucoepidermoid carcinoma is ayoung person’s lung cancer with no apparent causal connection to smoking. It exhibits slow growth, which can make it challenging to detect changes in size on serial chest imaging. Another way of describing its growth pattern is that mucoepidermoid carcinoma has an unusually long volume doubling time. We describe acase of an incidental lung nodule diagnosed as mucoepidermoid carcinoma in which aprior chest radiograph provided aclue to the indolent nature of the abnormality and therefore argued against typical lung cancer. In the same context, we underscore the value of volumetric analy-sis in improving the accuracy of nodule growth determinations, which further strengthens the argument that the importance of locating prior imaging has not diminished in contemporary pulmonary practice.
Keywords: mucoepidermoid carcinoma; lung cancer; lung mass; volume doubling time; volumetric analysis mucoepidermoid carcinoma; lung cancer; lung mass; volume doubling time; volumetric analysis

Share and Cite

MDPI and ACS Style

Sabang, R.L.; Keshishyan, S.; Salib, C.; Ye, Q.; Han, L.; Rozenshtein, A.; Epelbaum, O. Double or Nothing: Old Chest X-ray as a Clue to Lung Mass. Adv. Respir. Med. 2020, 88, 31-34. https://doi.org/10.5603/ARM.2020.0076

AMA Style

Sabang RL, Keshishyan S, Salib C, Ye Q, Han L, Rozenshtein A, Epelbaum O. Double or Nothing: Old Chest X-ray as a Clue to Lung Mass. Advances in Respiratory Medicine. 2020; 88(1):31-34. https://doi.org/10.5603/ARM.2020.0076

Chicago/Turabian Style

Sabang, Ralph Llewel, Sevak Keshishyan, Christia Salib, Qiqi Ye, Liying Han, Anna Rozenshtein, and Oleg Epelbaum. 2020. "Double or Nothing: Old Chest X-ray as a Clue to Lung Mass" Advances in Respiratory Medicine 88, no. 1: 31-34. https://doi.org/10.5603/ARM.2020.0076

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