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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| Format: | Article |
| Language: | English |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2015-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501500056D.pdf |
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| _version_ | 1850106615343087616 |
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| author | Đurić Mirna Považan Đorđe Đurić Dejan Eri Živka Trudić Anika |
| author_facet | Đurić Mirna Považan Đorđe Đurić Dejan Eri Živka Trudić Anika |
| author_sort | Đurić Mirna |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-4e4522a29fce481cb91bf5025eae4d92 |
| institution | OA Journals |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-4e4522a29fce481cb91bf5025eae4d922025-08-20T02:38:47ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202015-01-0172875075410.2298/VSP140220056D0042-84501500056DDiagnostic approach to localised organising pneumonia: A case reportĐurić Mirna0Považan Đorđe1Đurić Dejan2Eri Živka3Trudić Anika4The Institute for Pulmonary Diseases of Vojvodina, Sremska KamenicaThe Institute for Pulmonary Diseases of Vojvodina, Sremska KamenicaThe Institute for Pulmonary Diseases of Vojvodina, Sremska KamenicaThe Institute for Pulmonary Diseases of Vojvodina, Sremska KamenicaThe Institute for Pulmonary Diseases of Vojvodina, Sremska KamenicaIntroduction. 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.http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501500056D.pdfpneumonialung neoplasmsneoplasm metastasisdiagnosisdiagnosis differentialthoracic surgical procedures |
| spellingShingle | Đurić Mirna Považan Đorđe Đurić Dejan Eri Živka Trudić Anika Diagnostic approach to localised organising pneumonia: A case report Vojnosanitetski Pregled pneumonia lung neoplasms neoplasm metastasis diagnosis diagnosis differential thoracic surgical procedures |
| title | Diagnostic approach to localised organising pneumonia: A case report |
| title_full | Diagnostic approach to localised organising pneumonia: A case report |
| title_fullStr | Diagnostic approach to localised organising pneumonia: A case report |
| title_full_unstemmed | Diagnostic approach to localised organising pneumonia: A case report |
| title_short | Diagnostic approach to localised organising pneumonia: A case report |
| title_sort | diagnostic approach to localised organising pneumonia a case report |
| topic | pneumonia lung neoplasms neoplasm metastasis diagnosis diagnosis differential thoracic surgical procedures |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501500056D.pdf |
| work_keys_str_mv | AT đuricmirna diagnosticapproachtolocalisedorganisingpneumoniaacasereport AT povazanđorđe diagnosticapproachtolocalisedorganisingpneumoniaacasereport AT đuricdejan diagnosticapproachtolocalisedorganisingpneumoniaacasereport AT erizivka diagnosticapproachtolocalisedorganisingpneumoniaacasereport AT trudicanika diagnosticapproachtolocalisedorganisingpneumoniaacasereport |