Korean J Med.  2014 Dec;87(6):733-737. 10.3904/kjm.2014.87.6.733.

Mass-forming Eosinophilic Infiltration Involving the Central Airway: A Case Report of Endobronchial Involvement of Eosinophilic Inflammation Mimicking Bronchogenic Malignancy

Affiliations
  • 1Department of Internal Medicine, CHA Bundang Medical Center, College of Medicine, CHA University, Seongnam, Korea. jhcmd@hanmail.net
  • 2Department of Pathology, CHA Bundang Medical Center, College of Medicine, CHA University, Seongnam, Korea.

Abstract

We report a very unusual case of endobronchial involvement of eosinophilic inflammation. A 58-year-old woman visited our clinic complaining of cough. A chest computed tomography scan showed a poorly enhancing mass compressing both main bronchi in the subcarinal area. Bronchoscopy also showed stenosis of the two main bronchi with irregular mucosal thickening. A bronchoscopic endobronchial mucosal biopsy revealed eosinophilic inflammation without evidence of malignancy. The subcarinal mass disappeared after systemic steroid treatment. This is the first report of mass-forming eosinophilic infiltration involving the central airway mimicking primary lung cancer.

Keyword

Eosinophils; Subcarinal mass; Bronchial stenosis

MeSH Terms

Biopsy
Bronchi
Bronchoscopy
Constriction, Pathologic
Cough
Eosinophils*
Female
Humans
Inflammation*
Lung Neoplasms
Middle Aged
Thorax
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