Document Detail

Metastatic pulmonary adenocarcinoma to placenta and pleural fluid: clinicopathologic findings.
MedLine Citation:
PMID:  20055563     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To report the clinicopathologic findings of a pregnant woman with Stage IV adenocarcinoma of the lung with placental metastasis. MATERIALS AND METHODS: Medical records review. RESULTS: A 31-year-old G(2)P(1001) woman was diagnosed with Stage IV metastatic adenocarcinoma of the lung. At 34 weeks' and 2 days' gestation, she went into preterm labor and delivered a live male infant, weighing 2595 grams, with Apgar scores of 9 and 9, respectively. Placental pathology was significant for adenocarcinoma with a solid and acinar pattern, consistent with that from the lung. Her postpartum course was uneventful. She did not receive chemotherapy and expired one month postpartum. To date, the infant is without evidence of disease. CONCLUSIONS: The occurance of lung cancer in pregnancy is rare and a few cases have been reported in literature. Placental metastasis is extremely uncommon in these cases and can lead to fetal involvement by lung tumor. It is important to report all cases of lung cancer occurring in pregnancy with subsequent close clinical surveillance of the infant as all cases have a different clinical picture.
Marylou C Thelmo; Ellen P Shen; Savita Shertukde
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Fetal and pediatric pathology     Volume:  29     ISSN:  1551-3823     ISO Abbreviation:  Fetal Pediatr Pathol     Publication Date:  2010  
Date Detail:
Created Date:  2010-01-08     Completed Date:  2010-03-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101230972     Medline TA:  Fetal Pediatr Pathol     Country:  England    
Other Details:
Languages:  eng     Pagination:  45-56     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Kern Medical Center-UCLA, Bakersfield, California 93305, USA.
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MeSH Terms
Adenocarcinoma / secondary*
Infant, Newborn
Lung Neoplasms / pathology*
Neoplasm Staging
Placenta Diseases / pathology*
Pleural Effusion, Malignant / pathology*

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