title: Recurrent pulmonary hyalinizing granuloma.
abstract: We report the case of a 61-year-old male patient who underwent surgical excision of a lung mass for anatomopathological study. The patient had previously presented with fever, dry cough, and chest pain, together with lung masses detected by chest X-ray, and had undergone thoracotomy for diagnostic investigation on two occasions (1976 and 1981), although a conclusive diagnosis had not been made. A CT scan of the chest revealed large masses with areas of calcification in both lung fields. The anatomopathological study was consistent with pulmonary hyalinizing granuloma. In the postoperative period, the patient experienced several episodes of bronchospasm, which was reversible with the use of symptomatic medication. At this writing, the patient was receiving maintenance therapy with prednisone (40 mg/day) and had shown clinical improvement.
authors.affiliation: Dr. José de Carvalho Florence Municipal Hospital, São Paulo State Association for Development of Medicine/ Federal University of São Paulo – São José dos Campos, Brazil. guilhermearruda@uol.com.br
authors.forename: Guilherme D'Andréa Saba
authors.initials: GD
authors.lastname: Arruda
authors.forename: Paulo César Ribeiro de
authors.initials: PC
authors.lastname: Carvalho
authors.forename: Mara Patrícia Guilhermino de
authors.initials: MP
authors.lastname: Andrade
authors.forename: Maurício Campos
authors.initials: MC
authors.lastname: Cusmanich
authors.forename: Gustavo
authors.initials: G
authors.lastname: Bandeira
authors.forename: Felipe Shigueo Passos
authors.initials: FS
authors.lastname: Tozaki
mesh_terms: D006099:Granuloma / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging / Q000473:pathology; D008171:Lung Diseases / Q000000981:diagnostic imaging / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D014057:Tomography, X-Ray Computed