[A case of pulmonary dirofilariasis].
A 58-year-old man was admitted to our hospital for detailed examination of continuous cough. On a chest X-ray film, abnormal shadow was detected in the right lower lung field. Preoperative examination findings didn't lead to a definitive diagnosis. Under thoracoscopy partial resection of the lung was performed to rule out a malignant lesion. Intraoperative pathologic finding revealed a granulomatous lesion. And, final pathological diagnosis showed to be a pulmonary dirofilariasis. His postoperative course was not eventful. On 20 th day he discharged postoperatively. Now, under the Pet-boom the disease has been reported increasingly. But it is difficult to find the disease preoperatively. So, it is real to be operated for differentiate from a malignant lesion. Recently in many cases open lung biopsy, has been undergone with less invasive procedure such as thoracoscopy and VATS. It will be mainstream in future.
Department of Surgery, Kanazawa National Hospital, Japan.
S
S
Dohba
M
M
Kondoh
H
H
Fujita
S
S
Kinami
T
T
Ii
T
T
Inoue
Y
Y
Komura
S
S
Takegawa
M
M
Kiriyama
Y
Y
Kojima
Y
Y
Kibe
K
K
Watanabe
D004184:Dirofilariasis / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008174:Lung Diseases, Parasitic / Q000175:diagnosis* / Q000601:surgery; D008297:Male; D008875:Middle Aged