A double fistula, broncho-cavitary-cutaneous communication caused by cancer invasion.
Pulmonary infection with cavitation causes severe respiratory symptoms if the cavity has a communication with main bronchus, through which fluid flows out into trachea. In this report a young male with lung cancer invading an adjacent pre-existent fungus cavitary lesion is presented. Cancer invasion led to broncho-cavitary communication and caused massive intrabronchial aspiration. Subsequently, the cancer destroyed the thoracic wall, and a cavitary-cutaneous fistula developed which relieved symptoms as if treated with open drainage.
Isomura
T
T
Department of Respiratory Medicine, Meitetsu Hospital, Nagoya.
Noguchi
M
M
Murate
T
T
Hasegawa
Y
Y
D000328:Adult; D001983:Bronchial Fistula / Q000209:etiology*; D018287:Carcinoma, Large Cell / Q000150:complications* / Q000473:pathology; D003453:Cryptococcosis / Q000150:complications; D003455:Cryptococcus neoformans / Q000302:isolation & purification; D017577:Cutaneous Fistula / Q000209:etiology*; D017809:Fatal Outcome; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008172:Lung Diseases, Fungal / Q000150:complications; D008175:Lung Neoplasms / Q000150:complications* / Q000473:pathology; D008297:Male; D009361:Neoplasm Invasiveness; D013396:Suction