Primary lung clear cell carcinoma: one case report

Abstract

The patient was male, 64 years old, admitted to hospital due to Repeatedly cough for two months. Two months ago in the patients with no obvious incentive to appear repeatedly coughing, without sputum, no chest tightness, chest pain or fever symptoms such as. Chest X-ray examination suggested that the right middle lung of a huge high-density mass shadow, measuring about 9 cm, fuzzy edge, density uniformity (Fig. 1). Chest CT suggested that the great mass of right middle lobe, was lobulated mass, mediastinal lymph node enlargement did not found (Fig. 2). Fiberoptic bronchoscopy could be seen right middle lobe lateral segment had a thing blocking the lumen, patient refused biopsy. Abdominal B-ultrasonography, cranial CT, bone ECT were normal. Liver function, renal function were normal, etc. Preliminary diagnosis is right middle lung lobe cancer. Admitted to hospital 4 days later, we operated on patients with resection of the right middle lobe. In surgery, we could see that mass in the right middle lobe lateral, the size of it was about 10 cm × 7 cm, hard, encroach pericardium, the right phrenic nerve and partial inferior lobe. After surgery, the patient recovered well. Discharged from hospital 10 days after surgery. Pathological examination prompted lung clear cell carcinoma (Fig. 3, 4). One month after surgery to begin chemotherapy for four courses, programs for the NP program. Follow-up of 16 months and repeated CT, ECT and abdominal B-ultrasonography, no tumor recurrence or metastasis.