A Case of Papillary Lung Adenocarcinoma that was Difficult to Distinguish from Chronic Eosinophilic Pneumonia
- VernacularTitle:慢性好酸球性肺炎との鑑別が困難であった乳頭型肺腺癌の1例
- Author:
Akane MITA
1
;
Kei TAKAMURA
1
;
Hajime KIKUCHI
1
;
Makoto YAMAMOTO
1
;
Keisuke KIKUCHI
2
Author Information
- From:Journal of the Japanese Association of Rural Medicine 2020;69(1):86-90
- CountryJapan
- Language:Japanese
- Abstract: An 82 year-old-woman was referred to our hospital because of infiltrative shadow of the lingula in 201X. She was asymptomatic, so we followed up with imaging observation. After 1 year, the infiltrative shadow had progressed, so we performed bronchoscopy. Glandular epithelium with the mild aberrant type was detected, but did not lead to a definitive diagnosis. There was increased eosinophilic compartmentalization of immune response in the bronchoalveolar lavage, so we started treatment with corticosteroids for chronic eosinophilic pneumonia. However, there was no improvement of the shadow. Subsequent computed tomography-guided lung biopsy revealed evidence of papillary adenocarcinoma.
