A case of pulmonary cryptococcosis mimicking pulmonary metastasis in a patient with cutaneous squamous cell carcinoma.
- Author:
Jong Sin LEE
1
;
Yun Ho KONG
;
Seung Hwan LEE
;
Wee Sik SOHN
;
Sun Hoo PARK
;
Cheol Hyeon KIM
;
Jae Cheol LEE
Author Information
1. Department of Internal Medicine, Korea Cancer Center Hospital, Seoul, Korea. cheol@kcch.re.kr
- Publication Type:Case Report
- Keywords:
Cryptococcus;
Squamous cell carcinoma
- MeSH:
Aged;
Biopsy, Fine-Needle;
Carcinoma, Squamous Cell*;
Cryptococcosis*;
Cryptococcus;
Diagnosis;
Female;
Fluconazole;
Follow-Up Studies;
Humans;
Inflammation;
Multiple Pulmonary Nodules;
Neoplasm Metastasis*;
Radiography, Thoracic
- From:Korean Journal of Medicine
2004;67(5):540-544
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Multiple pulmonary nodules were found in a 71-year-old Korean female patient with cutaneous squamous cell carcinoma during diagnostic work-up. A presumptive diagnosis of metastases was made and percutaneous fine needle aspiration cytology was undertaken. Finally, pathological examination of the tissue revealed granulomatous inflammation with cryptococcal infection. The patient received 6 months of antifungal treatment with fluconazole and her chest radiographic findings were improved after the treatment. She is now under clinical follow-up. Recognition that pulmonary cryptococcal infection can mimic metastasis is important in reaching the correct diagnosis and in determining the correct treatment.
