Cavitary lung cancer with cartilage tissues in the wall mimicking aspergilloma
| Autor: | Tsutomu Shinohara, Takashige Taoka, Fumitaka Ogushi, Keishi Naruse |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Pathology Lung Neoplasms Itraconazole Chest Clinic Aspergillus Lung Disease 030204 cardiovascular system & hematology Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Bronchoscopy medicine Humans Lung cancer Cartilage tissues Aged medicine.diagnostic_test business.industry Transbronchial lung biopsy Carcinoma Lung Cancer medicine.disease Cardiothoracic surgery 030220 oncology & carcinogenesis Female Radiology Pulmonary Aspergillosis business Right upper lung field Aspergilloma medicine.drug |
| Zdroj: | Thorax |
| ISSN: | 1468-3296 |
| Popis: | A 65-year-old female presented with a cavitary lesion in the right upper lung field (figure 1A). The diagnosis was aspergilloma because of the chest CT appearance of a fungus ball-like mass in the cavity (figure 1B) and treatment was started with itraconazole (200 mg/day). However, the cavitary lesion enlarged over a period of 6 months (figure 1C), with a C-reactive protein (CRP) level under 0.5 mg/dL. The patient was referred to our hospital and microscopic examination of a transbronchial lung biopsy of the cavitary lesion revealed lung cancer. A right upper lobectomy was performed. Histologically, pleomorphic carcinoma, confirmed … |
| Databáze: | OpenAIRE |
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