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.
Highlights
The incidental pulmonary nodule is a common reason for pulmonology consultation in the current era of abundant medical imaging
We present a case of mucoepidermoid carcinoma of the lung in a young never-smoker, which illustrates that the value of prior images has not diminished even in today’s pulmonary practice
Rare Indolent lymphoproliferative disorder garithmic function that can be solved — assuming a constant growth rate — by measuring its diameter on two different CXRs separated by a known period of time
Summary
The incidental pulmonary nodule is a common reason for pulmonology consultation in the current era of abundant medical imaging. We present a case of mucoepidermoid carcinoma of the lung in a young never-smoker, which illustrates that the value of prior images has not diminished even in today’s pulmonary practice. Besides discussing this rare indolent lung malignancy, we address the concept of volumetric analysis — a modern technique that has made comparison imaging all the more relevant.
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