Well differentiated squamous cell carcinoma of the lung that presented with cavitation, infiltration of the rib cage, and fistula to the chest wall

Tumor escamocelular pulmonar bien diferenciado que se presenta con cavitación, infiltración de reja costal y fístula a pared del tórax

Published 2016-12-30

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Vol. 28 No. 2 (2016)
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Presentación de casos
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Well differentiated squamous cell carcinoma of the lung that presented with cavitation, infiltration of the rib cage, and fistula to the chest wall.
rev. colomb. neumol. [Internet]. 2016 Dec. 30 [cited 2024 Nov. 21];28(2):106-11. Disponible en: https://doi.org/10.30789/rcneumologia.v28.n2.2016.222
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https://doi.org/10.30789/rcneumologia.v28.n2.2016.222
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Camilo Andrés Medina, MD.
Fundación Valle del Lili. Universidad ICESI. Cali, Colombia.
    Luz Fernanda Sua, MD., PhD.
    Fundación Valle del Lili. Universidad Icesi. Cali, Colombia.
      Liliana Fernández T. MD.
      Fundación Valle del Lili. Universidad Icesi. Cali, Colombia.
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        Camilo Andrés Medina, MD.,

        Residente de Medicina Interna, Fundación Valle del Lili. Facultad de Ciencias de la Salud, Universidad ICESI. Cali, Colombia.

        Luz Fernanda Sua, MD., PhD.,

        Anatomía Patológica y Patología Clínica, Departamento de Patología y Medicina de Laboratorio, Patología pulmonar. Ciencias Biomédicas. Línea de investigación Biomédica en Tórax, Fundación Valle del Lili. Profesora Clínica Asistente, Facultad de Ciencias de la Salud, Universidad Icesi. Cali, Colombia.

        Liliana Fernández T. MD.,

        Medicina Interna, Neumología, Neumología Intervencionista, Línea del Investigación Biomédica en Tórax, Fundación Valle del Lili. Profesora Clínica Asociada, Facultad de Ciencias de la Salud, Universidad Icesi. Cali, Colombia.
        Squamous cell cancer of the lung is a common condition at the worldwide level, especially in smokers. It typically affects the conduction airway, and the papillary variety tends to invade the bronchi. The most common symptoms are caused by the mechanical effect on the lower airway, and include cough, hemoptysis, and recurrent pneumonia. We present the case of a patient with a well differentiated squamous cell tumor whose behavior was atypical and aggressive, with involvement of the airway, the pleura, the rib cage, and the soft tissues of the chest up to the skin. We also describe its clinical manifestations, diagnostic studies, and review the literature. Squamous cell carcinoma of the lung is one of the non-small-cell lung carcinomas. It is a malignant neoplasm that typically produces keratin, and is discriminated by histological and immunohistochemical studies. Its prevalence is higher among smokers and ex-smokers, who represent 90% of cases. Timely diagnosis improves the survival and quality of life of affected patients. In this article we present a case with atypical behavior; it teaches us to include this condition in the differential diagnosis of injuries compromising the chest wall.

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