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In this report, we present a case of a patient with recurrent pneumothorax undergoing routine bullectomy and pleurodesis and lung adenocarcinoma is diagnosed incidentally. The prognosis for patients with untreated lung cancer has always been unfavourable with a median survival time of only 10 to 14 months, even for early-stage disease. Once the diagnosis is established, an effective treatment should be instituted without delay. Spontaneous pneumothorax is a rare manifestation of lung cancer and the relative risk for developing lung cancer should be considered with the patients with recurrent spontaneous pneumothorax.<\/jats:p>","DOI":"10.1177\/20542704241304218","type":"journal-article","created":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T03:46:04Z","timestamp":1746675964000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Incidental finding of lung adenocarcinoma following routine bullectomy and pleurodesis on a young patient: a case report"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7058-6647","authenticated-orcid":false,"given":"Michelle","family":"Lee","sequence":"first","affiliation":[{"name":"St Bartholomew\u2019s Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Al-Rehan","family":"Dhanji","sequence":"additional","affiliation":[{"name":"St Bartholomew\u2019s Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gowthanan","family":"Santhirakumaran","sequence":"additional","affiliation":[{"name":"St Bartholomew\u2019s Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Periklis","family":"Perikleous","sequence":"additional","affiliation":[{"name":"St George\u2019s Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Waller","sequence":"additional","affiliation":[{"name":"St Bartholomew\u2019s Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,5,8]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2007.11.0130"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1080\/00365590802670496"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0929-6646(09)60398-3"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7819-7-57"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.21631"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1038\/nrc2190"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/287604"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.121.4.1155"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0169-5002(01)00459-7"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.06-3096"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2412051185"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1054\/bjoc.2000.1531"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.88.5.709"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000021411"},{"issue":"9","key":"e_1_3_2_16_2","first-page":"936","article-title":"Primary lung cancer presenting as spontaneous pneumothorax","volume":"33","author":"Tsukamoto T","year":"1995","unstructured":"Tsukamoto T, Satoh T, Yamada K, Nagasawa M. 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