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D'Ambrosio PD, Costa AN, Scordamaglio PR, Terra RM. Endobronchial histoplasmosis mimicking primary bronchogenic carcinoma during the COVID-19 pandemic. J Bras Pneumol 2022; 48:e20210048. [PMID: 35475862 PMCID: PMC9064646 DOI: 10.36416/1806-3756/e20210048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Affiliation(s)
- Paula Duarte D'Ambrosio
- . Departamento de Cirurgia Torácica, Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP), Brasil
| | - André Nathan Costa
- . Departamento de Pneumologia, Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP), Brasil
| | - Paulo Rogério Scordamaglio
- . Divisão de Broncoscopia, Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP), Brasil
| | - Ricardo Mingarini Terra
- . Departamento de Cirurgia Torácica, Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP), Brasil
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Griffeth EM, Whitson B, Huard D, Brown BR. Endobronchial Lipoma: Case Report and Literature Review. Am J Med Sci 2020; 361:111-117. [PMID: 32807376 DOI: 10.1016/j.amjms.2020.07.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2020] [Revised: 05/02/2020] [Accepted: 07/09/2020] [Indexed: 10/23/2022]
Abstract
Endobronchial lipomas are rare benign tumors that can cause bronchial obstruction resulting in significant symptoms and post-obstructive parenchymal damage. Accurate diagnosis and treatment are essential to avoid unnecessary morbidity and mortality in these patients. We describe one case of endobronchial lipoma at our institution and include a literature review of endobronchial lipoma cases reported during the time period 2003-2018. Treatment has shifted towards bronchoscopic management and away from surgery for the majority of patients; 64.3% of patients in this review had their lipoma resected bronchoscopically, compared to 30% or less in reviews as recent as 2003. Notably, in cases reported since 2010, 72.7% of cases were managed bronchoscopically. Recurrence rates are low following both bronchoscopic and surgical resection.
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Affiliation(s)
- Elaine M Griffeth
- College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
| | - Brian Whitson
- Integris Pulmonology Associates of Enid, Enid, Oklahoma
| | - David Huard
- Department of Radiological Sciences, University of Oklahoma Health Sciences Center, College of Medicine, Oklahoma City, Oklahoma
| | - Brent R Brown
- Department of Internal Medicine, Section of Pulmonary, Critical Care and Sleep Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma
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Gohy S, Hoton D, Froidure A. Therapeutic endobronchial resection of a benign tumor in a patient with cystic fibrosis. Clin Case Rep 2019; 7:1900-1902. [PMID: 31632673 PMCID: PMC6787941 DOI: 10.1002/ccr3.2325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2019] [Revised: 06/19/2019] [Accepted: 06/23/2019] [Indexed: 11/28/2022] Open
Abstract
This report highlights the usefulness of bronchoscopy in case of recurrent pneumonia with the same localization even in CF patients where the presence of bronchiectasis as promoting factor of infections could delay the diagnosis.
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Affiliation(s)
- Sophie Gohy
- Department of PulmonologyCliniques Universitaires Saint‐Luc, UCLBrusselsBelgium
- Cystic Fibrosis Reference CenterCliniques Universitaires Saint‐Luc, UCLBrusselsBelgium
| | - Delphine Hoton
- Department of PathologyCliniques Universitaires Saint‐Luc, UCLBrusselsBelgium
| | - Antoine Froidure
- Department of PulmonologyCliniques Universitaires Saint‐Luc, UCLBrusselsBelgium
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Affiliation(s)
- Neeraj Gupta
- Department of Respiratory Medicine, JLN Medical College, Ajmer, Rajasthan, India
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A Rare Case of Malbranchea Species Pulmonary Infection in the Setting of Suspected Selective Immunoglobulin M Deficiency. INFECTIOUS DISEASES IN CLINICAL PRACTICE 2019. [DOI: 10.1097/ipc.0000000000000676] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Slimani H, Soualhi M, Sadak N, Zahraoui R, Bourkadi JE. [Endobronchial aspergilloma revealing a bronchial carcinoma]. Ann Pathol 2016; 36:279-81. [PMID: 27475005 DOI: 10.1016/j.annpat.2016.04.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2015] [Revised: 04/15/2016] [Accepted: 04/20/2016] [Indexed: 12/01/2022]
Abstract
Endobronchial aspergillosis is a rare presentation of pulmonary aspergillosis in immunocompetent patients; this raises questions about structural changes inducing airflow stasis in order to colonize the bronchial lumen. We present the case of a patient diagnosed with endobronchial aspergilloma covering a bronchial adenocarcinoma.
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Affiliation(s)
- Hajar Slimani
- Service de pneumo-phtisiologie, hôpital Moulay-Youssef, CHU Rabat, faculté de médecine et de pharmacie de Rabat, 10000 Akkari, Maroc.
| | - Mouna Soualhi
- Service de pneumo-phtisiologie, hôpital Moulay-Youssef, CHU Rabat, faculté de médecine et de pharmacie de Rabat, 10000 Akkari, Maroc.
| | - Nouzha Sadak
- Service de pneumo-phtisiologie, hôpital Moulay-Youssef, CHU Rabat, faculté de médecine et de pharmacie de Rabat, 10000 Akkari, Maroc.
| | - Rachida Zahraoui
- Service de pneumo-phtisiologie, hôpital Moulay-Youssef, CHU Rabat, faculté de médecine et de pharmacie de Rabat, 10000 Akkari, Maroc.
| | - Jamal-Eddine Bourkadi
- Service de pneumo-phtisiologie, hôpital Moulay-Youssef, CHU Rabat, faculté de médecine et de pharmacie de Rabat, 10000 Akkari, Maroc.
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Wu T, Li P, Wang M, Wang Q, Shi Y, Su X. Pulmonary solid tumor with coexisting pulmonary aspergillosis: case reports and literature review. CLINICAL RESPIRATORY JOURNAL 2015; 11:3-12. [PMID: 25833291 DOI: 10.1111/crj.12294] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/08/2014] [Revised: 03/05/2015] [Accepted: 03/23/2015] [Indexed: 11/26/2022]
Abstract
BACKGROUND AND AIMS The association of noncavitary untreated lung cancer with coexisting pulmonary Aspergillosis in immunocompetent patients is an extremely rare occurrence. The present paper aims to summarize the clinical data, and gives an overview of the current knowledge on the etiology, diagnosis and treatment of this condition. METHODS We report four cases and review seven cases in the literature. RESULTS The four cases describe pulmonary solid tumor with coexisting pulmonary Aspergillosis condition. All cases underwent complicated procession for the terminal diagnosis. CONCLUSION Clinicians should be alert to underlying malignant disease if airway Aspergillus infection is suspicious in a patient without strong risk factors for invasive fungal disease. On the other hand, when lung cancer is coexisting with airway necrotizing Aspergillosis, clinicians should properly manage these two diseases simultaneously.
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Affiliation(s)
- Ting Wu
- Department of Respiratory and Critical Care Medicine, Jinling Hospital, Nanjing University School of Medicine, Nanjing, China
| | - Pei Li
- Department of Respiratory and Critical Care Medicine, Jinling Hospital, Nanjing University School of Medicine, Nanjing, China
| | - Min Wang
- Department of Respiratory and Critical Care Medicine, Jinling Hospital, Nanjing University School of Medicine, Nanjing, China
| | - Qin Wang
- Department of Critical Care Medicine, No. 81 Hospital of PLA, Nanjing, China
| | - Yi Shi
- Department of Respiratory and Critical Care Medicine, Jinling Hospital, Nanjing University School of Medicine, Nanjing, China
| | - Xin Su
- Department of Respiratory and Critical Care Medicine, Jinling Hospital, Nanjing University School of Medicine, Nanjing, China
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Lee SH, Jung JY, Kim DH, Lee SK, Kim SY, Kim EY, Kang YA, Park MS, Kim YS, Chang J, Kim SK. Endobronchial metastases from extrathoracic malignancy. Yonsei Med J 2013; 54:403-9. [PMID: 23364974 PMCID: PMC3575990 DOI: 10.3349/ymj.2013.54.2.403] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
PURPOSE Endobronchial metastasis is defined as documented extrathoracic malignancies metastatic to the endobronchus within a bronchoscopically visible range. Although the clinical and radiologic findings of endobronchial metastasis are similar to primary lung cancer, treatment and prognosis may be different. We hereby investigated the clinical, radiologic and bronchoscopic aspects of endobronchial metastases (EBM) in Korean patients. MATERIALS AND METHODS A total of 43 patients with EBM who underwent bronchoscopic biopsies from June 1991 to December 2009 at Severance Hospital, Yonsei University College of Medicine in Seoul, Korea, were analyzed retrospectively. We evaluated clinical, radiologic and bronchoscopic characteristics of EBM. RESULTS The patients consisted of 27 males and 16 females and their ages ranged from 18 to 77 years. The common primary cancers related to EBM were rectal (16.3%), colon (11.6%), breast (9.3%) and uterine (9.3%) cancers. The mean interval from diagnosis of primary cancer to EBM was 36 months, and the mean survival duration from diagnosis of EBM was 16.1 months in 33 deceased patients. CONCLUSION EBM develop in various types of malignancies at various times with unremarkable manifestations. Therefore, physicians should consider the possibility of EBM, especially if a patient has a history of any malignancy, regardless of respiratory symptoms. Respiratory symptoms related with EBM can be treated by various safe procedures.
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Affiliation(s)
- Sang Hoon Lee
- Division of Pulmonology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Ji Ye Jung
- Division of Pulmonology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Do Hoon Kim
- Department of Internal Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea
| | - Sang Kook Lee
- Division of Pulmonology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Song Yee Kim
- Division of Pulmonology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Eun Young Kim
- Division of Pulmonology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Young Ae Kang
- Division of Pulmonology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Moo Suk Park
- Division of Pulmonology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Young Sam Kim
- Division of Pulmonology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Joon Chang
- Division of Pulmonology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Se Kyu Kim
- Division of Pulmonology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
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Tracheobronchial mucoid pseudotumor. Open Med (Wars) 2012. [DOI: 10.2478/s11536-011-0149-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
AbstractThe topic of large mucoid plug of tracheobronchus simulating a tumor lacks scientific research and publication. We report such a case presenting as a pseudo-tumor in an elderly population. The plug was easily removed with a flexible bronchoscope. Microscopically, neither malignant cells nor microbial agents were present in the mucoid plug, confirming the diagnosis of a mucoid pseudotumor. If a collection of mucus, indistinguishable from a true tumor, is detected in the tracheobronchial tree particularly on CT scan, we should consider performing bronchoscopy, as such tracheobronchial mucoid pseudotumor may be distinguished from true tumors by this procedure.
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Nilsson JR, Restrepo CS, Jagirdar J. Two cases of endobronchial carcinoid masked by superimposed aspergillosis: a review of the literature of primary lung cancers associated with Aspergillus. Ann Diagn Pathol 2011; 17:131-6. [PMID: 22079170 DOI: 10.1016/j.anndiagpath.2011.06.005] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2011] [Revised: 06/06/2011] [Accepted: 06/25/2011] [Indexed: 11/18/2022]
Abstract
We describe 2 cases of endobronchial pulmonary carcinoid tumor with superimposed Aspergillus colonization. The Aspergillus hyphae were associated with fibrin, ulcer debris, and granulomatous inflammation in part masking the carcinoid tumor. Presence of necrotic debris made diagnosis on biopsy difficult, and atypical carcinoid could not be ruled out. The association of carcinoid tumor with aspergillosis is rare and has been reported in 4 other cases thus far. A review of the literature reveals at least 35 cases of lung carcinoma with coexisting Aspergillus upon presentation. Most of these carcinomas are either cavitary squamous cell or adenocarcinomas harboring an aspergilloma. The other carcinomas are associated with bronchial obstruction as in carcinoids or are a minor component of a preexisting cavity raising the possibility of "scar carcinoma." As in aspergillomas not associated with carcinoma, upper lobe involvement predominates. Diagnosis can be challenging with delayed discovery of underlying neoplasm leading to suboptimal treatment.
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Affiliation(s)
- John Robert Nilsson
- Department of Pathology and Cytology, Karolinska University Hospital, Solna, Sweden.
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Ota K, Satoh H, Lin SY, Fujita J, Ohara G, Kurishima K, Hizawa N. Endobronchial metastasis from adrenocortical carcinoma. Intern Med 2009; 48:1161-4. [PMID: 19571451 DOI: 10.2169/internalmedicine.48.2113] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Lung parenchymal metastases are common manifestations; however, endobronchial metastasis is rare. We present herein a case of endobronchial metastasis from adrenocortical carcinoma. In the English language literature, this is the first case with such rare metastasis from adrenocortical carcinoma diagnosed antemortem. Although very rare, physicians should keep in mind the possibility of endobronchial metastasis in patients with a history of extrapulmonary malignancy including adrenocortical carcinoma.
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Affiliation(s)
- Kyoko Ota
- Division of Respiratory Medicine, Institute of Clinical Medicine, University of Tsukuba
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