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Aggressive Squamous Cell Lung Carcinoma in a Long-Term E-Cigarette User with Intracardiac Complications: A Case Report

Bret K. Farrow-Cypel, Sahil Patel, Nayan R Mandala, M. Desantis, Priyanka Upadrasta, Haitham Dib

The American journal of case reports, 2025

2 citations

Abstract

Patient: Male, 51-year-old Final Diagnosis: Squamous cell carcinoma Symptoms: Chest discomfort • dyspnea • hemoptysis • weight loss Clinical Procedure: Bronchoscopy • CT angiography • transesophageal echocardiogram Specialty: Cardiology • General and Internal Medicine • Oncology • Pulmonology Objective: Rare disease Background The use of electronic nicotine delivery systems (ENDS), commonly referred to as electronic cigarettes (e-cigarettes), involves inhaling a mixture of heated nicotine, glycerin, propylene glycol, and flavorings. There has been increasing concern about the harm of long-term use of e-cigarettes, including an association with the development and progression of lung cancer. This report describes a 51-year-old male former cigarette smoker with an 11-year history of e-cigarette use (vaping) presenting with an aggressive advanced squamous cell carcinoma of the lung, which was fatal. Case Report A 51-year-old man with type 2 diabetes, hypertension, a 10-pack-year smoking history, and 11 years of e-cigarette use presented with hemoptysis, weight loss, chest discomfort, and worsening dyspnea. Initial imaging revealed a large left upper-lobe mass. Transesophageal echocardiography (TEE) showed a large tumor thrombus in the left atrium. Biopsy confirmed poorly differentiated squamous cell carcinoma (SCC). He was stabilized and discharged, but returned 2 weeks later with worsening symptoms. Imaging showed significant tumor progression. Bronchoscopy revealed worsening…

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