A complication of a long-standing solitary lung cyst
| Autor: | J. G. H. Hubbard, R. Azhar, U. U. Nkere |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Lung Diseases
Male medicine.medical_specialty Sputum Cytology Lung Neoplasms Bronchoscopy medicine Carcinoma Humans Cyst Lung medicine.diagnostic_test Cysts business.industry Respiratory disease General Medicine Adenocarcinoma Bronchiolo-Alveolar Middle Aged medicine.disease Lobe Surgery Radiography medicine.anatomical_structure Complication business Research Article |
| Zdroj: | Postgraduate Medical Journal. 73:595-596 |
| ISSN: | 1469-0756 0032-5473 |
| Popis: | Accepted 9 December 1996 A 56-year-old man, an ex-smoker, underwent a right middle lobectomy for an infected lung cyst. The cyst had been noted on a chest X-ray 34 years earlier (figure 1) although the patient had never previously had symptoms referable to it. Six months prior to presentation the patient had developed an acute febrile illness with a cough productive of purulent sputum, intermittent haemoptysis, shortness of breath and weight loss. He subsequently improved on antibiotics. His chest X-ray showed that the cyst now had a fluid level (figure 1) and although the appearance improved on antibiotics, it failed to resolve completely. Investigations including bronchoscopy, sputum cytology and abdominal ultrasound examination were unremarkable. Computed tomography confirmed the chest X-ray features. At operation, a consolidated middle lobe was found to be adherent to the upper and lower lobes and the chest wall. There was a large cyst measuring 7 x 5 cm in the lateral portion of the lobe communicating with multiple loculi in the rest of the substance of the middle lobe. Macroscopically the lung was firm and there were several deposits of an irregular white tumour in the lung surrounding the cyst with slimy mucoid material present at the surface. The histology is shown in figure 2. |
| Databáze: | OpenAIRE |
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