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Case report
Miao Zhang
Xuzhou Central Hospital
Corresponding Author
ORCiD: https://orcid.org/0000-0001-7431-5986
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This work is licensed under a CC BY 4.0 License. Read Full License
Background: Percutaneous fine-needle biopsy is a well-established procedure for the diagnosis of lung lesions. However, tumor dissemination after transthoracic biopsy is potentially unpreventable.For radiographical malignant localized tumors, the optimal choice (a timely surgery or preoperative biopsy) is debatable.
Case Presentation: A 57-year-old male patient was admitted due to a radiographical malignant but initially resectable lung tumor in the chest images. Although lobectomy, instead of biopsy, was recommended by the multidisciplinary consultation team, the patient declared that he would ask for compensation if the pulmonary lesion was benign. He developed pleural and pericardial effusion about 9 months after the first biopsy, which failed to yield a definite diagnosis.Chest tube drainage revealed malignant tumor cells. Finally, unresectable stage Ⅳ primary lung adenocarcinoma was confirmed by another biopsy. Therefore, chemotherapy plus targeted agents was administered.The patient was lost to follow up 1 month later.
Conclusions: A timely resection rather than biopsy of the lung lesion suspicious for cancer should be considered when appropriate. In addition,how to avoid the negative effect of patient-physician relationship in medical decision making warrants further ethical and clinical studies.
Keywords
Lung cancer, Aspiration, Core biopsy, Patient-physician relationship, Medical decision making, Artificial intelligence
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This is a preprint. It has not completed peer review.
Case report
Miao Zhang
Xuzhou Central Hospital
Corresponding Author
ORCiD: https://orcid.org/0000-0001-7431-5986
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 29 Jun, 2020
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Cardiothoracic Surgery
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Percutaneous fine-needle biopsy is a well-established procedure for the diagnosis of lung lesions. However, tumor dissemination after transthoracic biopsy is potentially unpreventable.For radiographical malignant localized tumors, the optimal choice (a timely surgery or preoperative biopsy) is debatable.
Case Presentation: A 57-year-old male patient was admitted due to a radiographical malignant but initially resectable lung tumor in the chest images. Although lobectomy, instead of biopsy, was recommended by the multidisciplinary consultation team, the patient declared that he would ask for compensation if the pulmonary lesion was benign. He developed pleural and pericardial effusion about 9 months after the first biopsy, which failed to yield a definite diagnosis.Chest tube drainage revealed malignant tumor cells. Finally, unresectable stage Ⅳ primary lung adenocarcinoma was confirmed by another biopsy. Therefore, chemotherapy plus targeted agents was administered.The patient was lost to follow up 1 month later.
Conclusions: A timely resection rather than biopsy of the lung lesion suspicious for cancer should be considered when appropriate. In addition,how to avoid the negative effect of patient-physician relationship in medical decision making warrants further ethical and clinical studies.
Figure 1
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