Severe bronchoconstriction due to sarcoid-like reaction to lung cancer

Chest radiography in a 59-year-old woman with recurrent pneumonia showed infiltrates in her left upper lung field. Fiberoptic bronchoscopy and chest computed tomography revealed severe constriction in the upper bronchus and a nodule in the left upper lobe. After lobectomy, adenocarcinoma was confirm...

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Bibliographic Details
Published in:Asian cardiovascular & thoracic annals 2012-04, Vol.20 (2), p.199-201
Main Authors: Tao, Hiroyuki, Yamamoto, Hiromasa, Matsuda, Eisuke, Sano, Fumiho, Okabe, Kazunori, Sugi, Kazurou
Format: Article
Language:English
Subjects:
Adenocarcinoma - complications
Adenocarcinoma - diagnosis
Adenocarcinoma - surgery
Bronchial Diseases - diagnosis
Bronchial Diseases - etiology
Bronchial Diseases - surgery
Bronchoscopy
Constriction, Pathologic
Diagnosis, Differential
Female
Follow-Up Studies
Humans
Lung Neoplasms - complications
Lung Neoplasms - diagnosis
Lung Neoplasms - surgery
Middle Aged
Pneumonectomy
Sarcoidosis, Pulmonary - diagnosis
Severity of Illness Index
Tomography, X-Ray Computed
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Summary:Chest radiography in a 59-year-old woman with recurrent pneumonia showed infiltrates in her left upper lung field. Fiberoptic bronchoscopy and chest computed tomography revealed severe constriction in the upper bronchus and a nodule in the left upper lobe. After lobectomy, adenocarcinoma was confirmed, with multiple non-caseating granulomas in the lung parenchyma and lymph nodes. Bronchial constriction was thought to be due to a sarcoid-like reaction secondary to lung cancer, leading to granuloma formation.
ISSN:0218-4923
1816-5370
DOI:10.1177/0218492311431493