Pulmonary Multiloculated 'Lotus Torus-like' Sarcoidosis Mimicking Lung Adenocarcinoma
| Autor: | Norimitsu Kadowaki, Takuya Inoue, Nariyasu Nakashima, Makiko Murota, Emi Ibuki, Nobuhiro Kanaji |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Pathology medicine.medical_specialty Lung Neoplasms nodular Biopsy Lotus Adenocarcinoma of Lung Case Report 030204 cardiovascular system & hematology Diagnosis Differential 03 medical and health sciences lotus 0302 clinical medicine Sarcoidosis Pulmonary cavitary Internal Medicine medicine Humans sarcoidosis adenocarcinoma Lung biology medicine.diagnostic_test business.industry fungi Transbronchial lung biopsy food and beverages General Medicine respiratory system biology.organism_classification medicine.disease medicine.anatomical_structure Mediastinal lymph node Adenocarcinoma Female 030211 gastroenterology & hepatology Sarcoidosis Differential diagnosis Tomography X-Ray Computed business multiloculated |
| Zdroj: | Internal Medicine |
| ISSN: | 1349-7235 0918-2918 |
| DOI: | 10.2169/internalmedicine.1541-18 |
| Popis: | A 34-year-old Japanese woman exhibited a 35×25-mm solitary multiloculated mass shadow in the left lower lobe mimicking lung adenocarcinoma. On computed tomography, the mass resembled a lotus torus. A transbronchial lung biopsy and mediastinal lymph node biopsy led to the diagnosis of sarcoidosis. This lotus torus-like mass regressed spontaneously. This is the second reported case of pulmonary cavitary sarcoidosis with a ‘lotus torus-like’ appearance. We propose several findings regarding the lotus torus-like appearance by comparing the findings to those of lung adenocarcinoma. Knowledge of this unique sign may be helpful for the differential diagnosis of pulmonary sarcoidosis from lung adenocarcinoma. |
| Databáze: | OpenAIRE |
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