Multifocal adenocarcinoma of the lung: multinodular type

Discussion:

Traditionally and still often referred to as bronchoalveolar carcinoma (BAC), this form of lung cancer is now classified as adenocarcinoma in situ, minimally invasive adenocarcinoma and invasive adenocarincoma of lung based on histological findings.

Classically it presents insidiouosly with an unresolving pneumonic process, but can also present as a pulmonary nodule or cluster of diffuse nodules as in this case.

Three recognized radiographic patterns are described:

  • single mass or nodular form (commonest): ~45 %
  • consolidative form: ~30 %
  • multinodular form: ~25 %     ( this case )
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