Evidence map›Paper›PMID 39198795›Full record

ReviewBMC pulmonary medicine2024

Lung adenocarcinoma concurrent with pulmonary cryptococcosis: a case report and literature review.

Xiaofeng Bai, Hansheng Wang, Yijun Tang, Chuanyong Xiao, Yujie Gao, Hanmao Tong, Peipei Chen, Meifang Wang, Tao Ren

Abstract readCase ReportsReview
In one paragraph

Review in BMC pulmonary medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Global trends, risk factors, and therapeutic associations of fungal pulmonary infections in lung cancer: A systematic review and meta-analysis.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2025
    Pooled it
  2. Article
  3. Article
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

9 authors.

Xiaofeng Bai *Department of the First Clinical College, Hubei University of Medicine, Renmin Road No. 30, Shiyan, 442000, Hubei, China.
Hansheng Wang *Department of the First Clinical College, Hubei University of Medicine, Renmin Road No. 30, Shiyan, 442000, Hubei, China.
Yijun TangDepartment of the First Clinical College, Hubei University of Medicine, Renmin Road No. 30, Shiyan, 442000, Hubei, China.
Chuanyong XiaoDepartment of the First Clinical College, Hubei University of Medicine, Renmin Road No. 30, Shiyan, 442000, Hubei, China.
Yujie GaoDepartment of the First Clinical College, Hubei University of Medicine, Renmin Road No. 30, Shiyan, 442000, Hubei, China.
Hanmao TongDepartment of the First Clinical College, Hubei University of Medicine, Renmin Road No. 30, Shiyan, 442000, Hubei, China.
Peipei ChenDepartment of the First Clinical College, Hubei University of Medicine, Renmin Road No. 30, Shiyan, 442000, Hubei, China.
Meifang WangDepartment of the First Clinical College, Hubei University of Medicine, Renmin Road No. 30, Shiyan, 442000, Hubei, China. wmfpps02@hotmail.com.
Tao RenDepartment of the First Clinical College, Hubei University of Medicine, Renmin Road No. 30, Shiyan, 442000, Hubei, China. doctorrentao@sina.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulmonary cryptococcosis (PC) is a common opportunistic fungal infection caused by Cryptococcus neoformans or Cryptococcus gattii. PC primarily invades the respiratory system, followed by the central nervous system. Few clinical reports have examined the coexistence of PC and lung cancer. This study reports the case of a 54-year-old immunocompetent PC patient with lung adenocarcinoma. Chest CT revealed multiple nodules in the right lung, with the largest nodule located in the dorsal segment of the right lower lobe. 18 F‑FDG positron emission tomography-computed tomography (PET-CT) revealed elevated glucose metabolism in the dorsal segment of the right lower lobe, which suggested lung cancer. The metabolism level of the nodule in the basal segment of the right lower lobe and the anterior segment of the right upper lobe was not abnormally increased, but the possibility of a malignant tumour could not be excluded. The pulmonary nodules in the dorsal segment and the basal segment of the right lower lobe were simultaneously resected via video-assisted thoracic surgery (VATS), and the final histopathology revealed primary lung adenocarcinoma and pulmonary cryptococcal infection, respectively. After surgery, antifungal treatment was administered for 3 months. Over the 3-year follow-up, contrast-enhanced computed tomography (CT) revealed no recurrence of either disease. This case study highlights the possibility of dualism in the diagnosis of multiple pulmonary nodules on chest CT, such as the coexistence of lung cancer and PC. Surgical resection is recommended for micronodules that are not easy to diagnose via needle biopsy; in addition, early diagnosis and treatment are helpful for ensuring a good prognosis. This paper reports the clinical diagnosis and treatment of one patient with pulmonary cryptococcal infection of the right lung complicated with lung adenocarcinoma, including 3 years of follow-up, providing a reference for clinical practice.

Indexed as

Adenocarcinoma of LungCryptococcosisLung Diseases, FungalLung NeoplasmsPositron Emission Tomography Computed TomographyAntifungal AgentsHumansLungMiddle AgedThoracic Surgery, Video-AssistedTomography, X-Ray ComputedAntifungal AgentsCoexistenceFluconazoleLung adenocarcinomaPulmonary cryptococcosisVideo-assisted thoracoscopic surgery

Identifiers

PMID39198795
PMCPMC11351499

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.