Over the past four decades, there has been a marked increase in lung adenocarcinoma in women, and this has been linked to smoking. The mean age of diagnosis of lung adenocarcinoma is 71 years and this particular cancer is very rare before the age of 20. Here we mention a case of adenocarcinoma in a young female presenting with subcutaneous emphysema. To be best of our knowledge no such case was found in the search.

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