Abstract
INTRODUCTION Pulmonary aspergillosis occurs in the parenchymal cavities or ectatic airways. It rarely affects healthy people with an intact immune response. There have been few reports describing an aspergilloma mimicking a lung cancer. PRESENTATION OF CASE We experienced the case of an asymptomatic healthy 71-year-old female who was admitted with an abnormal lung shadow. Chest CT revealed an irregularly shaped solid lung nodule in the left upper lobe, which increased in size during the follow-up at a regional hospital. The pathology of the bronchial biopsy was negative for malignant cells, and the cultures were negative. Because a lung cancer was strongly suspected, video-assisted thoracic surgery was performed. Aspergillus was detected by a pathological study of the excised specimen, with no evidence of lung cancer. DISCUSSION It is difficult to make an accurate diagnosis of aspergilloma by imaging findings in healthy people with an intact immune response, and therefore a surgical resection allows both the pathological diagnosis and treatment to be performed concurrently. CONCLUSION An aspergilloma presenting a mass shadow on imaging may mimic a lung cancer in healthy people with intact immune response.
| Original language | English |
|---|---|
| Pages (from-to) | 690-692 |
| Number of pages | 3 |
| Journal | International Journal of Surgery Case Reports |
| Volume | 4 |
| Issue number | 8 |
| DOIs | |
| Publication status | Published - Jan 1 2013 |
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All Science Journal Classification (ASJC) codes
- Surgery
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Aspergilloma mimicking a lung cancer. / Yasuda, Manabu; Nagashima, Akira; Haro, Akira; Saitoh, Genkichi.
In: International Journal of Surgery Case Reports, Vol. 4, No. 8, 01.01.2013, p. 690-692.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Aspergilloma mimicking a lung cancer
AU - Yasuda, Manabu
AU - Nagashima, Akira
AU - Haro, Akira
AU - Saitoh, Genkichi
PY - 2013/1/1
Y1 - 2013/1/1
N2 - INTRODUCTION Pulmonary aspergillosis occurs in the parenchymal cavities or ectatic airways. It rarely affects healthy people with an intact immune response. There have been few reports describing an aspergilloma mimicking a lung cancer. PRESENTATION OF CASE We experienced the case of an asymptomatic healthy 71-year-old female who was admitted with an abnormal lung shadow. Chest CT revealed an irregularly shaped solid lung nodule in the left upper lobe, which increased in size during the follow-up at a regional hospital. The pathology of the bronchial biopsy was negative for malignant cells, and the cultures were negative. Because a lung cancer was strongly suspected, video-assisted thoracic surgery was performed. Aspergillus was detected by a pathological study of the excised specimen, with no evidence of lung cancer. DISCUSSION It is difficult to make an accurate diagnosis of aspergilloma by imaging findings in healthy people with an intact immune response, and therefore a surgical resection allows both the pathological diagnosis and treatment to be performed concurrently. CONCLUSION An aspergilloma presenting a mass shadow on imaging may mimic a lung cancer in healthy people with intact immune response.
AB - INTRODUCTION Pulmonary aspergillosis occurs in the parenchymal cavities or ectatic airways. It rarely affects healthy people with an intact immune response. There have been few reports describing an aspergilloma mimicking a lung cancer. PRESENTATION OF CASE We experienced the case of an asymptomatic healthy 71-year-old female who was admitted with an abnormal lung shadow. Chest CT revealed an irregularly shaped solid lung nodule in the left upper lobe, which increased in size during the follow-up at a regional hospital. The pathology of the bronchial biopsy was negative for malignant cells, and the cultures were negative. Because a lung cancer was strongly suspected, video-assisted thoracic surgery was performed. Aspergillus was detected by a pathological study of the excised specimen, with no evidence of lung cancer. DISCUSSION It is difficult to make an accurate diagnosis of aspergilloma by imaging findings in healthy people with an intact immune response, and therefore a surgical resection allows both the pathological diagnosis and treatment to be performed concurrently. CONCLUSION An aspergilloma presenting a mass shadow on imaging may mimic a lung cancer in healthy people with intact immune response.
UR - http://www.scopus.com/inward/record.url?scp=84879524831&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84879524831&partnerID=8YFLogxK
U2 - 10.1016/j.ijscr.2013.02.028
DO - 10.1016/j.ijscr.2013.02.028
M3 - Article
C2 - 23792483
AN - SCOPUS:84879524831
VL - 4
SP - 690
EP - 692
JO - International Journal of Surgery Case Reports
JF - International Journal of Surgery Case Reports
SN - 2210-2612
IS - 8
ER -