A Case of Lung Cancer Obscured by Endobronchial Aspergilloma.
10.4046/trd.2006.61.2.157
- Author:
Hyun Seok HAM
1
;
Seung Jun LEE
;
Yu Ji CHO
;
Kyoung Nyeo JEON
;
Yi Yeong JEONG
;
Ho Cheol KIM
;
Jong Deok LEE
;
Young Sil HWANG
Author Information
1. Department of Internal Medicine, College of Medicine, Gyeongsang National University, Jinju, Korea. hochkim@gshp.gsnu.ac.kr
- Publication Type:Case Report
- Keywords:
Endobronchial aspergilloma;
Lung cancer
- MeSH:
Aged;
Aspergillus;
Biopsy;
Bronchi;
Humans;
Hyphae;
Lung Neoplasms*;
Lung*;
Pulmonary Medicine;
Sputum;
Thorax;
Tolnaftate;
Tomography, X-Ray Computed
- From:Tuberculosis and Respiratory Diseases
2006;61(2):157-161
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 70-year-old man was referred to the department of pulmonology due to blood tinged sputum and an abnormal chest X-ray. The chest X-ray and CT scans revealed a lobulated contour mass-like lesion in the left upper lung field. The bronchoscopic examination showed a whitish and polypoid mass occluding the left upper lobe bronchus. A biopsy specimen from the lesion revealed many aspergillus hyphae. Intravenous and oral itraconozole were administered over a 4 weeks period. Several months later, the size of the mass on chest X-ray increased and a percutaneous lung biopsy revealed a sarcomatoid carcinoma. We reported a case of lung cancer that was obscured by an endobronchial aspergilloma with a review of the relevant literature.