Plasma cell granuloma associated with pulmonary actinomycosis: a case report.
Plasma cell granuloma (PCG) of the lung is a rare disease that usually presents as a pulmonary nodule or mass on incidental radiographic examination without symptoms. Although the etiology of PCG is still controversial, many findings have lent support to the lesion being a reactive inflammatory process rather than a neoplastic one. We describe a 53-yr-old male who presented with a hemoptysis and have a lung mass at the left upper lobe on chest radiograph. The lung mass was primarily diagnosed as PCG by percutaneous needle aspiration and biopsy, and the patient was treated with oral steroid because he and relatives refused the operation. However, the size of the lung mass did not change and open thoracotomy and lobectomy were done therefore. He was confirmed as having pulmonary actinomycosis with PCG after surgery. To our knowledge, this is the first report of PCG associated with actinomycosis in Korea.
Park
Seoung-Ju
SJ
Department of Internal Medicine, Chonbuk National University Medical School, 634-18 Keumam-Dong, Deokjin-Gu, Jeonju, Korea.
Lee
Yong-Chul
YC
Rhee
Yang-Keun
YK
Kweon
Eui-Yong
EY
Lee
Heung-Bum
HB
D000196:Actinomycosis / Q000150:complications* / Q000175:diagnosis*; D006104:Granuloma, Plasma Cell / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D008171:Lung Diseases / Q000150:complications* / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged