title: Endobronchial actinomycosis simulating bronchogenic carcinoma. Diagnosis by bronchial biopsy.
abstract: Five cases of actinomycosis of the main bronchi or trachea which were suggestive clinically of bronchogenic carcinoma are described. In four patients the correct diagnosis was made by a bronchial biopsy or wash, or both. Three of them recovered following antibiotic treatment, and one died a few days after bronchoscopy. In one case the Actinomyces were found in the bronchial wash retrospectively following diagnosis of pulmonary actinomycosis in the lobectomy specimen. A concomitant endobronchial lipoma was found in one of the patients. The diagnosis of pulmonary actinomycosis by bronchial biopsy may save the patient major surgical intervention.
authors.affiliation: Department of Pathology, Hadassah University Hospital Mount Scopus, Jerusalem, Israel.
authors.forename: I
authors.initials: I
authors.lastname: Ariel
authors.forename: R
authors.initials: R
authors.lastname: Breuer
authors.forename: N S
authors.initials: NS
authors.lastname: Kamal
authors.forename: I
authors.initials: I
authors.lastname: Ben-Dov
authors.forename: P
authors.initials: P
authors.lastname: Mogel
authors.forename: E
authors.initials: E
authors.lastname: Rosenmann
mesh_terms: D000196:Actinomycosis / Q000175:diagnosis*; D000328:Adult; D000368:Aged; D001706:Biopsy; D001980:Bronchi / Q000473:pathology*; D001982:Bronchial Diseases / Q000175:diagnosis; D002283:Carcinoma, Bronchogenic / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D012141:Respiratory Tract Infections / Q000175:diagnosis*; D014132:Trachea / Q000473:pathology