Diagnostic approach to localised organising pneumonia: A case report
Introduction. Localised organising pneumonia, radiologically presented with oval or round shadows mimicing lung cancer or metastases, is a major issue in differential diagnosis. Case report. A female patient was hospitalized to clarified the etiology of multiple nodular lung lesions. The ch...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2015-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501500056D.pdf |
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| Summary: | Introduction. Localised organising pneumonia, radiologically presented with
oval or round shadows mimicing lung cancer or metastases, is a major issue in
differential diagnosis. Case report. A female patient was hospitalized to
clarified the etiology of multiple nodular lung lesions. The chest X-ray and
the chest computed tomography (CT) revealed bilateral patchy and nodular
shadows, and round lung lesions, respectively. Neither sputum analyses, nor
histology of bronchoscopy samples clarified the etiology of these lung
lesions. As secondary deposits in the lungs were suspected, video-assisted
thoracoscopy and anterolateral right minithoracotomy with atypical upper and
lower lobe resection were performed. The frozen-section analysis suggested
the benign nature of the lesion, and the definite histopathological finding
of localised organising pneumonia was established. Due to bilateral lung
lesions, corticosteroids were applied. Seven weeks later, the chest CT
finding revealed a total regression of the lesions. Conclusion. A surgical
resection was necessary to diagnose the localised organising pneumonia which
mimiced secondary malignant lesions, thus establishing the definite etiology
of lung lesions. Bronchoscopic cryobiopsy, recently introduced in order to
obtain peripheral lung biopsy samples, has provided new possibilities in the
diagnosis and treatment of neoplastic and non-neoplastic lung diseases. |
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| ISSN: | 0042-8450 2406-0720 |