[Pulmonary nodular amyloidosis mimicking multiple pulmonary metastases of carcinoma of the corpus uteri].

Autor: Breitenfelder M; Klinik für Visceral- und Thoraxchirurgie, St. Vinzenz Hospital, Rheda-Wiedenbrück., Kusch E, Leichsenring M, Prontnicki A
Jazyk: němčina
Zdroj: Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen [Chirurg] 2001 Sep; Vol. 72 (9), pp. 1062-6.
DOI: 10.1007/s001040170076
Abstrakt: Introduction: Pulmonary nodular amyloidosis (PNA) is a phenomenon that is rarely diagnosed anywhere in the world.
Methods: We report a case of a 63-year-old woman who smoked in whom a chest X-ray examination 5 years after diagnosis and radical treatment of a highly differentiated carcinoma of the corpus uteri showed multiple lung metastasis. To elucidate these findings by bronchoscopy and thoracoscopy we took a specimen from the right pleura and from one of the suspicious nodules, which were up to 3 cm in diameter; we also obtained some of the bronchial secretion.
Results: The nodules were histopathologically diagnosed as PNA.
Conclusion: Even if it is rare, PNA also belongs in the differential diagnosis of metastatic cancers. For us evidence of Pseudomonas fluorescens in the sputum is a reason for discussing a chronic, clinical unobtrusive local inflammation with hyperactivity of the B-cells as the hypothetical etiology of the amyloidomas.
Databáze: MEDLINE
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