[Pleomorphic carcinoma of the lung with high serum granulocyte colony stimulating factor, suggested of pulmonary abscess by preoperative radiology; report of a case].
A 52-year-old man with a history of heavy smoking was hospitalized for evaluation of fever. Pulmonary abscess was initially suspected by computed tomography (CT) showing an ovoid, well-demarcated nodule of 61 mm in diameter with coarse calcification in S2a of the right lung. The patient was treated with antibiotics, but no improvement was seen in inflammatory reactions or lesion size. Marked leukocytosis and high level of granulocyte colony stimulating factor (G-CSF) was shown by laboratory examination. To improve patient condition and ensure correct diagnosis, right upper lobectomy of the lung was performed. Pleomorphic carcinoma of the lung was subsequently diagnosed. G-CSF producing tumor was suspected, since the normalization of serum G-CSF level followed by the improvement of both fever and inflammatory reaction was observed postoperatively. We also present herein a review of 22 Japanese cases of pleomorphic carcinoma producing G-CSF of the lung, characterized by leukocytosis.
Mizuno
Mikoto
M
Department of Second Surgery, School of Medicine, Fukuoka University, Japan.
Miyoshi
Tatsu
T
Nabeshima
Kazuki
K
Iwasaki
Akinori
A
Shirakusa
Takaho
T
D002277:Carcinoma / Q000175:diagnosis*; D003937:Diagnosis, Differential; D016179:Granulocyte Colony-Stimulating Factor / Q000097:blood*; D006801:Humans; D008169:Lung Abscess / Q000000981:diagnostic imaging*; D008175:Lung Neoplasms / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
D016179:Granulocyte Colony-Stimulating Factor