December 9, 2023, the Facebook page “Vajira Pulmonary Medicine” posted a message stating that a 27-year-old woman, no congenital disease, non-smoker, came in with symptoms of tiredness, coughing for 2 weeks, weight loss of 4 kg. Went to the first hospital for an x-ray of the lungs. An abnormality was found with a large amount of fluid in the pleural membranes. So the lung was drilled out. The result is water mixed with blood. The patient was then sent for a CT scan. It was found that the pleura was thick and the right lung was deflated and a lung mass was found. Later, an endoscopy was performed on the lungs and a large amount of tissue in the lung cavity. Including pieces of tissue in the lungs And after collecting a piece of tissue (lump) in the pleura for examination, it was found that this woman had lung cancer.
You will see that this case Differential diagnosis That is because the patient is young. and do not smoke It may not always be possible to not think about lung cancer.
1. There are approximately 0.6 – 13% of lung cancer patients who are young.
2. Definition of young patients Varies for each study Most are cut at age < 35, < 40, or < 50 years.
3. Usually female more than male
4. Often have no history of smoking.
5. Patients often have symptoms long before they are diagnosed.
6. Make patients not aware that they will have lung cancer.
7. There are some studies that have looked at tumor characteristics. In this group of patients, it was found that they were more likely to have adenocarcinoma than squamous cell carcinoma, and some reports found a higher prevalence of driver mutations than older patients, who are candidates for targeted therapy (however, some studies found that characteristic not different from lung cancer in adults)
The Vajira pulmonary medicine page would like to express its condolences to the family of Dr. Kritthai. And I’d like to use this opportunity to raise awareness of lung cancer in young adults.
2023-12-09 03:17:30
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