Sri Ramachandra Institute of Higher Education and Research, India
Background
Pulmonary invasive mucinous adenocarcinoma earlier known as mucinous bronchi alveolar carcinoma is a relatively rare variant of pulmonary adenocarcinoma, but the incidence of this tumor is known to be rising
Invasive mucinous adenocarcinoma is now recognized as an independent sub-type of lung adenocarcinoma, with different immunohistochemically and molecular features, and different prognosis. IMA accounts for approximately 2-10% of lung adenocarcinomas
Case Presentation and History
A 42 year old female known case of Bronchial asthma, T2DM, SHTN on medication presented with 3 month history of shortness of breath and persistent cough with copious mucous production
She had recurrent fever episodes in the past and her CT chest showed scattered areas of ground glass opacities and patchy consolidation. She was started on empirical antibiotics. Despite antibiotics, she was not improving. She underwent bronchoscopy with BAL negative for infectious aetiologies and negative for cytology
Management
She was referred to CTVS for right upper lobectomy with bullectomy