A Case of Lung Cancer Obscured by Endobronchial Aspergilloma.

Ham, Hyun Seok; Lee, Seung Jun; Cho, Yu Ji; Jeon, Kyoung Nyeo; Jeong, Yi Yeong; Kim, Ho Cheol; Lee, Jong Deok; Hwang, Young Sil

doi:2006.61.2.157

Tuberc Respir Dis > Volume 61(2); 2006 > Article

Case Report

Tuberculosis and Respiratory Diseases 2006;61(2):157-161.
DOI: https://doi.org/10.4046/trd.2006.61.2.157 Published online August 1, 2006.

A Case of Lung Cancer Obscured by Endobronchial Aspergilloma.

Hyun Seok Ham, Seung Jun Lee, Yu Ji Cho, Kyoung Nyeo Jeon, Yi Yeong Jeong, Ho Cheol Kim, Jong Deok Lee, Young Sil Hwang

¹Department of Internal Medicine, College of Medicine, Gyeongsang National University, Jinju, Korea. hochkim@gshp.gsnu.ac.kr
²Department of Diagnostic Radiology, College of Medicine, Gyeongsang National University, Jinju, Korea.

Abstract

A 70-year-old man was referred to the department of pulmonology due to blood tinged sputum and an abnormal chest X-ray. The chest X-ray and CT scans revealed a lobulated contour mass-like lesion in the left upper lung field. The bronchoscopic examination showed a whitish and polypoid mass occluding the left upper lobe bronchus. A biopsy specimen from the lesion revealed many aspergillus hyphae. Intravenous and oral itraconozole were administered over a 4 weeks period. Several months later, the size of the mass on chest X-ray increased and a percutaneous lung biopsy revealed a sarcomatoid carcinoma. We reported a case of lung cancer that was obscured by an endobronchial aspergilloma with a review of the relevant literature.

Key Words: Endobronchial aspergilloma, Lung cancer