Evidence map›Paper›PMID 32199453›Full record

ArticleBMC pulmonary medicine2020

Delayed diagnosis of lung cancer due to misdiagnosis as worsening of sarcoidosis: a case report.

Hong-Joon Shin, Min-Seok Kim, Bo Gun Kho, Ha Young Park, Tae-Ok Kim, Cheol-Kyu Park, In-Jae Oh, Yu-Il Kim, Young-Chul Kim, Yoo-Duk Choi and 1 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC pulmonary medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 24 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Hong-Joon ShinDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, Republic of Korea.
Min-Seok KimDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, Republic of Korea.
Bo Gun KhoDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, Republic of Korea.
Ha Young ParkDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, Republic of Korea.
Tae-Ok KimDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, Republic of Korea.
Cheol-Kyu ParkDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, Republic of Korea.
In-Jae OhDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, Republic of Korea.
Yu-Il KimDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, Republic of Korea.
Young-Chul KimDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, Republic of Korea.
Yoo-Duk ChoiDepartment of Pathology, Chonnam National University Medical School, Gwangju, Republic of Korea.
Sung-Chul LimDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, Republic of Korea. lscmd@chonnam.ac.kr.
Chonnam National University · KRChonnam National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe concurrence of sarcoidosis and primary lung cancer is very rare. We report a very rare case with a delayed diagnosis of primary lung cancer due to its misdiagnosis as worsening of pulmonary sarcoidosis. CASE PRESENTATION: A 68-year-old man presented to the outpatient department for evaluation of a mass in the right hilar area with lymphadenopathies in subcarinal and both interlobar areas on chest computed tomography (CT). Sufficient core samples were obtained from subcarinal and bilateral interlobar lymph nodes using endobronchial ultrasonography (EBUS) guided transbronchial needle aspiration (TBNA). EBUS could not reach the right hilar lymph node due to its high angle. The pathologic findings were consistent with sarcoidosis. After 5 months, chest CT revealed aggravation of the right upper paratracheal lymphadenopathy. Assuming worsening of sarcoidosis, he was prescribed an oral corticosteroid for 5 months. However, follow-up chest CT showed a newly developed right lower paratracheal lymphadenopathy and worsening right hilar lymphadenopathy. Bronchoscopy and EBUS were performed once again. Transbronchial lung biopsy from the right upper lobe and EBUS-TBNA from the right lower paratracheal lymph node revealed adenocarcinoma from the lung.

conclusionsAlthough coexistence of sarcoidosis and lung cancer is very rare, the clinician should consider the possibility of accompanying lung cancer in sarcoidosis patients who are not responding to initial corticosteroid therapy.

Indexed as

AdenocarcinomaAgedBronchoscopyDelayed DiagnosisDiagnostic ErrorsEndoscopic Ultrasound-Guided Fine Needle AspirationHumansLung NeoplasmsMaleSarcoidosis, PulmonaryTomography, X-Ray ComputedConcurrentLung cancerLymphadenopathySarcoidosis

Identifiers

PMID32199453
PMCPMC7085152
OpenAlexW3012761988

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.