• Chest · Mar 2016

    Case Reports

    A Cancer That Went Up in Smoke: Pulmonary Reaction to e-Cigarettes Imitating Metastatic Cancer.

    • Lene Ring Madsen, Niels Henrik Vinther Krarup, Troels Korshøj Bergmann, Steen Bærentzen, Shadman Neghabat, Lone Duval, and Søren Tang Knudsen.
    • Department of Internal Medicine and Endocrinology, Aarhus University Hospital, Aarhus, Denmark. Electronic address: leemas@rm.dk.
    • Chest. 2016 Mar 1; 149 (3): e65-7.

    Abstracte-Cigarettes have gained worldwide popularity as a substitute for smoking, but concern has been raised regarding the long-term effects associated with their use. We report a case of a 45-year-old female consumer of e-cigarettes who presented with 4 months of abdominal pain and fever. Initial imaging discovered multiple pulmonary nodules and liver lesions suspicious of widespread metastases; however, an extensive evaluation found no evidence of malignancy. Results of a lung biopsy revealed an area with multinucleated giant cells suggestive of a foreign body reaction to a lipophilic material. Upon cessation of e-cigarette use (known as vaping), the lung nodules disappeared, and the liver lesions regressed. Our case report suggests that vaping can induce an inflammatory reaction mimicking metastatic cancer.Copyright © 2016 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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