[A necrobiotic nodule indistinguishable from lung adenocarcinoma].
A 43-year-old woman was referred for examination because of an abnormal shadow on a chest X-ray film. She had a 12-year history of seropositive rheumatoid arthritis. Chest X-ray films and CT scans showed a pleurabased solitary nodule without a cavity. Cytological examination of a transbronchial biopsy specimen did not lead to a diagnosis, so thoracoscopic enucleation was performed. Histologically, the nodule consisted of lymphocytes and fibroblasts surrounding a central necrotic area, which indicated that it was a rheumatoid nodule. This solitary necrobiotic nodule was radiographically indistinguishable from lung adenocarcinoma, so histologic confirmation was necessary.
Hanada
T
T
First Department of Internal Medicine, Hokkaido University School of Medicine, Sapporo, Japan.
Hizawa
N
N
Ogura
S
S
Isobe
H
H
Miyamoto
K
K
Narita
Y
Y
Kawakami
Y
Y
D000230:Adenocarcinoma / Q000000981:diagnostic imaging*; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008171:Lung Diseases / Q000000981:diagnostic imaging* / Q000473:pathology; D008175:Lung Neoplasms / Q000000981:diagnostic imaging*; D017441:Necrobiotic Disorders / Q000000981:diagnostic imaging* / Q000473:pathology; D011859:Radiography; D012218:Rheumatoid Nodule / Q000000981:diagnostic imaging* / Q000473:pathology