[A case of bronchocentric granulomatosis associated with Aspergillus that was difficult to differentiate from lung cancer].
We encountered a case of suspected bronchocentric granulomatosis (BCG) occurring in a COPD patient. Chest CT on admission showed a nodular shadow with indentation and a notch-like opacity in right S(3)a. Based on these findings, lung cancer was suspected. As we could not establish a definitive diagnosis, video-assisted thoracic surgery was performed. The histological findings of the resected specimen demonstrated BCG with clustering of fungal hyphae in the bronchioles. As the lesion was resected completely, we did not give additional treatment with an antifungal agent. It is difficult to differentiate BCG from lung cancer preoperatively. However, considering the homogeniecity of the nodule, it may be able to differentiate this type of lesion from lung cancer based on the feature. We report a rare case of a solitary nodule caused by BCG with Aspergillosis.
Department of Pulmonary Medicine, National Hospital Organization Matsue Hospital.
Shigenori
S
Ishikawa
Shuichi
S
Yano
Hirokazu
H
Touge
Yoshiyuki
Y
Tokuda
Kanako
K
Kobayashi
Toshikazu
T
Ikeda
Takeshi
T
Tokushima
Hiroyasu
H
Takeyam
D001228:Aspergillosis / Q000175:diagnosis*; D001982:Bronchial Diseases / Q000175:diagnosis*; D003937:Diagnosis, Differential; D006099:Granuloma / Q000175:diagnosis*; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged