Mofazzal Haider Siddique1, Sanjoy Kumar Kar2, Nirmal Kanti Sarkar3, Mahmud Masum Attar4,Rowshne Jahan5

Abstract
Adenocarcinoma, arising from the bronchial mucosal glands, is the most common NSCLC cancer
representing 35-40% of all lung cancers. It is the subtype observed most commonly in persons who do
not smoke. It usually occurs in a peripheral location within the lung, in some cases at the site of preexisting
scars, wounds, or inflammation (ie, a “scar carcinoma”).Here we report an uncommon
presentation of adenocarcinoma in lung. A non-smoker middle aged female presented with dry cough
& breathlessness with bilateral consolidation in chest. Chest X-ray revealed bilateral consolidation. CT
scan of chest showed soft tissue density lesion having air-bronchogram in all lobes of both lungs &
inflammatory changes. Initial sputum & FOB were normal. After several days repeat bronchoscopy
showed narrowing of the bronchus and study of the brush & lavage fluid revealed malignant cell of
adenocarcinoma variety. Consecutive three samples of induced sputum also showed malignant cell of
adenocarcinoma variety.
Key Words: Adenocarcinoma,Pneumonia.

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