Posters
Presentation Type
Poster
Discipline Track
Patient Care
Abstract Type
Case Report
Abstract
Introduction: Lung cancer is the second most common cancer and the leading cause of death by cancer in both men and women in United States. There is an estimation of over 200 thousand new cases and over 100 thousand deaths due to lung cancer in 2021.
Case Presentation: A 67-year-old male with a history of COPD and smoking presents with complaint of progressive cough and exertional shortness of breath. Chest x-ray demonstrated right sided pleural effusion which was exudative in nature upon pleural fluid analysis. Samples were sent for cytology however patient left against medical advice. Two months later, the patient, now undergoing chemotherapy for metastatic lung adenocarcinoma, was readmitted for management of SOB and right sided pleural effusion. During his extensive hospital course, patient received IV antibiotics for right sided empyema and subsequently underwent VATS of right lung with Talc pleurodesis and chest tube placement in right lung for further drainage. Subsequently patient was discharged home in hemodynamically stable condition.
Conclusion: Early diagnosis and treatment of lung cancer can increase the survival rate and provide a better prognosis. USPSTF recommends cancer screening in adults aged 50 to 80 years with a 20-pack year smoking history, current smokers, and those quitted within the 15 years. However, due to lack of access to healthcare, lack of awareness and education, and insufficient practice of preventive medicine many qualified individuals do not get screened for lung cancer. A focus on lung cancer screening can decrease patients’ physical, emotional, and financial burden and lessen the immense cost of lung cancer diagnosis and treatment for the healthcare system.
Academic/Professional Position
Resident
Academic/Professional Position (Other)
PGY1
Mentor/PI Department
Internal Medicine
Recommended Citation
Jafari-Esfahani, Shadi and Bello, Fatimah, "A case of Metastatic Lung Adenocarcinoma: A call for importance of preventive medicine" (2023). Research Symposium. 11.
https://scholarworks.utrgv.edu/somrs/theme1/posters/11
Included in
A case of Metastatic Lung Adenocarcinoma: A call for importance of preventive medicine
Introduction: Lung cancer is the second most common cancer and the leading cause of death by cancer in both men and women in United States. There is an estimation of over 200 thousand new cases and over 100 thousand deaths due to lung cancer in 2021.
Case Presentation: A 67-year-old male with a history of COPD and smoking presents with complaint of progressive cough and exertional shortness of breath. Chest x-ray demonstrated right sided pleural effusion which was exudative in nature upon pleural fluid analysis. Samples were sent for cytology however patient left against medical advice. Two months later, the patient, now undergoing chemotherapy for metastatic lung adenocarcinoma, was readmitted for management of SOB and right sided pleural effusion. During his extensive hospital course, patient received IV antibiotics for right sided empyema and subsequently underwent VATS of right lung with Talc pleurodesis and chest tube placement in right lung for further drainage. Subsequently patient was discharged home in hemodynamically stable condition.
Conclusion: Early diagnosis and treatment of lung cancer can increase the survival rate and provide a better prognosis. USPSTF recommends cancer screening in adults aged 50 to 80 years with a 20-pack year smoking history, current smokers, and those quitted within the 15 years. However, due to lack of access to healthcare, lack of awareness and education, and insufficient practice of preventive medicine many qualified individuals do not get screened for lung cancer. A focus on lung cancer screening can decrease patients’ physical, emotional, and financial burden and lessen the immense cost of lung cancer diagnosis and treatment for the healthcare system.