Mucoepidermoid carcinoma of the airways in a young adult mal
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Mucoepidermoid carcinoma (MEC) of the airways is a rare entity most often found in young patients. A 23-year-old male presented with a fever and cough at his general physician. A chest radiograph showed a left lower lobe consolidation consistent with pneumonia.

Antibiotics (amoxicillin/clavulanate 625 mg TID) were not sufficient and his symptoms progressed with hemoptysis. A second chest X-ray was performed six days later. The consolidation progressed in size and cavitation with gas-fluid levels developed. Due to mass effect of the lower lobe, bulging of the major fissure was present. The differential diagnosis of the conventional imaging was not specific and included an infection, abscess, and neoplasia.

A contrast-enhanced computed tomography chest (CECT) scan was performed a day later showing a large lesion in the left lower lobe. Multiple air-fluid levels and fluid collections with capsular enhancement were present surrounded by consolidation. There were no enlarged mediastinal or perihilar lymph nodes. These findings were consistent with a pulmonary abscess, however, the etiology remained unclear.

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Dr. R●●●●z P●●●●●●r Pathology
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Oct 10, 2017Like