title: Emergency surgery for lung cancer with abscess formation after transbronchial biopsy.
abstract: Abscess formation in lung cancer after transbronchial biopsy (TBB) is a rare complication with no standard consensus on a coping strategy or prophylaxis. We describe an instructive case of lung cancer which developed into an abscess after TBB. An 80-year-old man with poorly controlled diabetes mellitus underwent TBB for diagnosing a mass lesion in the left upper lobe. The TBB specimen confirmed a diagnosis of lung cancer, and he was scheduled for radical surgery. However, the tumour was revealed to have progressed into an enlarged abscess 24 days after TBB. Prompt use of meropenem failed to relieve the infection, hence we performed emergency left upper lobectomy. Poorly controlled diabetes mellitus was considered to be a risk for the formation of a tumour abscess after TBB. It was difficult to control the infection with conservative treatment using antibiotics; emergency surgical resection was considered to be the safest strategy for recovery.
authors.affiliation: Department of Thoracic Surgery Fujieda Municipal General Hospital Fujieda Japan.
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Takanashi
authors.affiliation: Department of Respiratory medicine Fujieda Municipal General Hospital Fujieda Japan.
authors.forename: Koichi
authors.initials: K
authors.lastname: Miyashita
authors.affiliation: Department of Pathology Fujieda Municipal General Hospital Fujieda Japan.
authors.forename: Shogo
authors.initials: S
authors.lastname: Tajima
authors.affiliation: Department of Thoracic Surgery Fujieda Municipal General Hospital Fujieda Japan.
authors.forename: Takamitsu
authors.initials: T
authors.lastname: Hayakawa
authors.affiliation: Department of Thoracic Surgery Fujieda Municipal General Hospital Fujieda Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Neyatani
authors.affiliation: Department of Surgery 1 Hamamatsu University School of Medicine Hamamatsu Japan.
authors.forename: Kazuhito
authors.initials: K
authors.lastname: Funai
keywords: Abscess; lung cancer; transbronchial biopsy