The association of adenocarcinoma of the lung and blastomycosis from an unusual geographical location.
A case of North American blastomycosis acquired outside the American continent and presenting with a left hilar mass is reported. The progressive hilar enlargement, despite adequate antifungal treatment, raised the possibility of drug resistance, concomitant tuberculosis and carcinoma. Non-invasive diagnostic studies including cultures, cytology and fibreoptic bronchoscopy were negative. On thoracotomy, both blastomy cosis and a poorly undifferentiated adenocarcinoma were evident.
D000230:Adenocarcinoma / Q000150:complications*; D000328:Adult; D001759:Blastomycosis / Q000150:complications* / Q000473:pathology; D006801:Humans; D007988:Liberia; D008175:Lung Neoplasms / Q000150:complications*; D008297:Male