Tuberc Respir Dis.
2006 Aug;61(2):157-161.
A Case of Lung Cancer Obscured by Endobronchial Aspergilloma
- Affiliations
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- 1Department of Internal Medicine, College of Medicine, Gyeongsang National University, Jinju, Korea. hochkim@gshp.gsnu.ac.kr
- 2Department of Diagnostic Radiology, College of Medicine, Gyeongsang National University, Jinju, Korea.
Abstract
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A 70-year-old man was referred to the department of pulmonology due to blood tinged sputum and an abnormal chest X-ray. The chest X-ray and CT scans revealed a lobulated contour mass-like lesion in the left upper lung field. The bronchoscopic examination showed a whitish and polypoid mass occluding the left upper lobe bronchus. A biopsy specimen from the lesion revealed many aspergillus hyphae. Intravenous and oral itraconozole were administered over a 4 weeks period. Several months later, the size of the mass on chest X-ray increased and a percutaneous lung biopsy revealed a sarcomatoid carcinoma. We reported a case of lung cancer that was obscured by an endobronchial aspergilloma with a review of the relevant literature.