AB 56. Combined large cell neuroendocrine CA with squamous cell CA of the lung
Background: Presentation of a rare case of lung neoplasia with review of literature.
Patients and methods: We report a case of a 56-year-old male who underwent total excision of his left lung. An intrabronchal lesion that obstructed the main left bronchus was observed in the lower lobe. The lesion was also infiltrating the lung parenchyma and had maximum dimension 6,5cm. Histological examination revealed a malignant tumor, consisted mostly of large cells with irregular shape, abundant cytoplasm and large nuclei. Immunohistochemical results showed that some of the cells were expressing neuroendocrine markers (chromogranine, synaptophysine, CD 56) and the rest of them were expressing markers (p63, Ck5/6) that defined the presence of a squamous cell carcinoma.
Results: According to morphological and immunohistochemical findings, a diagnosis of a combined large cell neuroendocrine carcinoma with squamous cell carcinoma of the lung was confirmed.
Conclusions: A research in international literature showed that this case of combined large cell neuroendocrine carcinoma with squamous cell carcinoma of the lung is uncommon.