[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.
Dohba
S
S
Department of Surgery, Kanazawa National Hospital, Japan.
Kondoh
M
M
Fujita
H
H
Kinami
S
S
Ii
T
T
Inoue
T
T
Komura
Y
Y
Takegawa
S
S
Kiriyama
M
M
Kojima
Y
Y
Kibe
Y
Y
Watanabe
K
K
D004184:Dirofilariasis / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008174:Lung Diseases, Parasitic / Q000175:diagnosis* / Q000601:surgery; D008297:Male; D008875:Middle Aged