{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:54:32Z","timestamp":1786978472572,"version":"build-2736575974"},"reference-count":6,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T00:00:00Z","timestamp":1747612800000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Pulmonary sarcomatoid carcinoma (\n                    <jats:styled-content style=\"fixed-case\">PSC<\/jats:styled-content>\n                    ) is a rare and aggressive malignancy that often presents atypically, leading to incomplete diagnosis. We report a 55\u2010year\u2010old male with chronic obstructive pulmonary disease who presented with productive cough and haemoptysis. Initial bronchoscopy revealed fungal hyphae consistent with Aspergillus infection. The misleading clinical presentation led to an incomplete diagnosis. Subsequent lung biopsy and immunohistochemistry confirmed\n                    <jats:styled-content style=\"fixed-case\">PSC<\/jats:styled-content>\n                    harbouring an\n                    <jats:styled-content style=\"fixed-case\">EGFR L858R<\/jats:styled-content>\n                    mutation. Despite the presence of a targetable mutation, the patient showed a poor response to\n                    <jats:styled-content style=\"fixed-case\">EGFR<\/jats:styled-content>\n                    \u2010targeted therapy. This case highlights the diagnostic challenges and therapeutic complexities when\n                    <jats:styled-content style=\"fixed-case\">PSC<\/jats:styled-content>\n                    coexists with an airway fungal infection.\n                  <\/jats:p>","DOI":"10.1002\/rcr2.70213","type":"journal-article","created":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T06:16:57Z","timestamp":1747721817000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Pulmonary Sarcomatoid Carcinoma Initially Misdiagnosed as Aspergillosis: A Diagnostic Challenge"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9075-1574","authenticated-orcid":false,"given":"YingYing","family":"Qian","sequence":"first","affiliation":[{"name":"Department of Geriatrics, Second Affiliated Hospital, School of Medicine Zhejiang University  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,19]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.21037\/tlcr-24-127"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-1777769"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00094-21"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtho.2017.03.005"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40265-021-01477-2"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/17588359241249041"}],"container-title":["Respirology Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.70213","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T07:39:08Z","timestamp":1748417948000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcr2.70213"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5]]},"references-count":6,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1002\/rcr2.70213"],"URL":"https:\/\/doi.org\/10.1002\/rcr2.70213","archive":["Portico"],"relation":{},"ISSN":["2051-3380","2051-3380"],"issn-type":[{"value":"2051-3380","type":"print"},{"value":"2051-3380","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5]]},"assertion":[{"value":"2025-04-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70213"}}