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Article in Japanese
Abstract
Case Report
A case of endobronchial mucormycosis with peculiar bronchoscopic findings
Shougo Tomita Norikazu Takeda Makoto Hasumoto Nao Kagiyama Ryouzou Yano Takayuki Nakamura Hirotake Kijima Fumiko Iwaku Hiroshi Kuraishi Toshiki Kikuchi Hidehiko Otsuka Michiaki Narushima Hajime Suzuki
Dept. of Respiratory Medicine, Fujigaoka Hospital of Showa University School of Medicine
Fujigaoka 1-30, Aobaku, Yokohama 227-8501
ABSTRACT
Small cell lung cancer was diagnosed in a 54-year-old man in 1997. He had received 5 cycles of systemic chemotherapy and thoracic irradiation since 1997, and a favorable response had been achieved. In August 2001, pro-GRP was again elevated, and he was readmitted. Bronchoscopic findings revealed a white dendritic endobronchial mass on a cheese-like plug obstructing the left upper bronchus division. Numerous mucor hyphe and cancer cells were detected by transbronchial biopsy, and a fungal culture disclosed mucor. Although no antifungal drug was administered, the bronchial lesion disappeared after removal with biopsy forceps and 2 cycles of systemic anticancer chemotherapy.
Endobronchal involvement of mucormycosis is rare and this case is unique because of the peculiar bronchoscopic finding with the endobronchial lesion.
KEYWORDS
Mucormycosis Endobronchial lesion Bronchoscopy Lung cancer
Received 平成15年5月21日
JJRS, 42(2): 181-184, 2004
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