Asian Cardiovasc Thorac Ann. 2016 May;24(4):389-92. doi: 10.1177/0218492316633011. Epub 2016 Feb 8.
Massive malignant pleural effusion due to lung adenocarcinoma in 13-year-old boy.
Afghani R1, Hajimohammadi A2, Azarhoush R3, Kazemi-Nejad V3, Yari B2, Rezapour Esfahani M4.
Department of Surgery, 5 Azar Hospital, Golestan University of Medical Sciences, Gorgan, Iran af_med75@yahoo.com.
Department of Surgery, 5 Azar Hospital, Golestan University of Medical Sciences, Gorgan, Iran.
Department of Pathology, 5 Azar Hospital, Golestan University of Medical Sciences, Gorgan, Iran.
Clinical Research Development Unit (CRDU), 5 Azar Hospital, Golestan University of Medical Sciences, Gorgan, Iran.
A 13-year-old boy with no risk factors for lung cancer presented with a massive left-sided pleural effusion and a mediastinal shift on chest radiography and computed tomography. A chest tube drained bloody pleural fluid with an exudative pattern. A pleural biopsy and wedge biopsy of the left lower lobe revealed mucinous adenocarcinoma in the left lower lobe wedge biopsy and metastatic adenocarcinoma in the pleural biopsy. The patient is currently undergoing chemotherapy. Radiotherapy is planned after shrinkage of the tumor. Adenocarcinoma of the lung is very rarely seen in teenagers or children, especially in the absence of risk factors.