[Tumor-bronchial actinomycosis simulating a recurrence of lung cancer 14 years after initial treatment: A case report]
| Autor: | L, Folliet, T, Perpoint, J-C, Pignat, F, Laurent, M, Devouassoux, M, Perol, P, Nesme, J-C, Guerin, S, Ernesto, L, Odier, D, Arpin |
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| Jazyk: | francouzština |
| Rok vydání: | 2013 |
| Předmět: |
Male
Vascular Fistula Hemoptysis Lung Neoplasms Time Factors Lung Diseases Fungal Biopsy Chemoradiotherapy Pulmonary Artery Actinomycosis Airway Obstruction Diagnosis Differential Prosthesis Implantation Necrosis Fatal Outcome Postoperative Complications Bronchoscopy Carcinoma Squamous Cell Humans Bronchial Fistula Neoplasm Recurrence Local Device Removal Aged |
| Zdroj: | Revue des maladies respiratoires. 32(5) |
| ISSN: | 1776-2588 |
| Popis: | A patient with a history of squamous cell carcinoma of the right upper lung lobe treated 14 years before by concomitant chemo-radiotherapy was referred on account of dyspnea. Bronchial endoscopy revealed complete obstruction of the right main bronchus highly suggestive of a tumor recurrence. However, biopsy samples only showed inflammatory and necrotic tissue with no evidence of malignancy. Despite complete tissue resection by rigid bronchoscopy, a rapid and complete recurrence occurred requiring the placement of a Y-shaped bronchial prosthesis. Repeat histological, bacteriological and mycological analyses were negative. The patient was soon readmitted to hospital for a lung infection due to recurrence of obstruction inside and around the prosthesis. Bacterial examination of biopsy samples identified Actinomyces meyeri. Appropriate antibiotic therapy led to a complete regression of the bronchial obstruction. Unfortunately, the patient died a few months later due to massive hemoptysis after the removal of the prosthesis. Autopsy examination showed a fistula between the right main bronchus and pulmonary artery, with no evidence of neoplastic recurrence nor the persistence of lesions associated with actinomycosis. |
| Databáze: | OpenAIRE |
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