DOI QR코드

DOI QR Code

Conjunction of a Fungus Ball and a Pulmonary Tumourlet in a Bronchiectatic Cavity

  • Yazgan, Serkan (Department of Thoracic Surgery, University of Health Sciences Dr Suat Seren Chest Diseases and Surgery Medical Practice and Research Center) ;
  • Gursoy, Soner (Department of Thoracic Surgery, University of Health Sciences Dr Suat Seren Chest Diseases and Surgery Medical Practice and Research Center) ;
  • Turk, Figen (Department of Thoracic Surgery, University of Health Sciences Dr Suat Seren Chest Diseases and Surgery Medical Practice and Research Center) ;
  • Dinc, Zekiye Aydogdu (Department of Pathology, University of Health Sciences Dr Suat Seren Chest Diseases and Surgery Medical Practice and Research Center)
  • Received : 2017.11.13
  • Accepted : 2018.01.23
  • Published : 2018.04.05

Abstract

Herein, we describe the case of a 67-year-old female patient who presented with cough and haemoptysis. Chest computed tomography revealed destruction of the left lower lobe and multiple fungus balls in a bronchiectatic cavity. A left lower lobectomy was performed via thoracotomy. Histopathological examination of the lung showed a concomitant aspergilloma and multiple tumourlets in the large bronchiectatic cavity. Pulmonary intracavitary aspergilloma and concomitant tumourlets are quite rare. Our report presents this interesting case that manifested with haemoptysis.

Keywords

References

  1. Jheon SH, Lee JT, Kim KT. Surgical treatment of pulmonary aspergillosis. Korean J Thorac Cardiovasc Surg 1989;22:170-5.
  2. Kallianos A, Velentza L, Zarogoulidis P, et al. Progressive dyspnea due to pulmonary carcinoid tumorlets. Respir Med Case Rep 2017;21:84-5.
  3. He P, Gu X, Wu Q, Lin Y, Gu Y, He J. Pulmonary carcinoid tumorlet without underlying lung disease: analysis of its relationship to fibrosis. J Thorac Dis 2012;4:655-8.
  4. Churg A, Warnock ML. Pulmonary tumorlet: a form of peripheral carcinoid. Cancer 1976;37:1469-77. https://doi.org/10.1002/1097-0142(197603)37:3<1469::AID-CNCR2820370332>3.0.CO;2-H
  5. Hendifar AE, Marchevsky AM, Tuli R. Neuroendocrine tumors of the lung: current challenges and advances in the diagnosis and management of well-differentiated disease. J Thorac Oncol 2017;12:425-36. https://doi.org/10.1016/j.jtho.2016.11.2222
  6. Wirtschafter E, Walts AE, Liu ST, Marchevsky AM. Diffuse idiopathic pulmonary neuroendocrine cell hyperplasia of the lung (DIPNECH): current best evidence. Lung 2015; 193:659-67.
  7. D'Agati VD, Perzin KH. Carcinoid tumorlets of the lung with metastasis to a peribronchial lymph node: report of a case and review of the literature. Cancer 1985;55:2472-6. https://doi.org/10.1002/1097-0142(19850515)55:10<2472::AID-CNCR2820551027>3.0.CO;2-Y
  8. Dewan M, Malatani TS, Osinowo O, al-Nour M, Zahrani ME. Carcinoid tumourlets associated with diffuse bronchiectasis and intralobar sequestration. J R Soc Promot Health 2000;120:192-5. https://doi.org/10.1177/146642400012000310