Korean J Med.
2004 Nov;67(5):540-544.
A case of pulmonary cryptococcosis mimicking pulmonary metastasis in a patient with cutaneous squamous cell carcinoma
- Affiliations
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- 1Department of Internal Medicine, Korea Cancer Center Hospital, Seoul, Korea. cheol@kcch.re.kr
- 2Department of Pathology, Korea Cancer Center Hospital, Seoul, Korea.
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.
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