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Abstract

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Article in Japanese

Case Report

A case of pleomorphic carcinoma complicated with sarcoidosis and nontuberculous mycobacteriosis

Hisatoshi Hijikata  Ken Maeno  Akiko Nakano  Tetsuya Oguri  Akio Niimi 

Department of Medical Oncology and Immunology, Nagoya City University Graduate School of Medical Sciences

ABSTRACT

A 76-year-old woman was admitted to Nagoya City University Hospital because she had a nodule in the right middle lobe and hilar and mediastinal lymphadenopathy in chest computed tomography. The nodule was diagnosed as pulmonary nontuberculous mycobacteriosis by CT-guided needle biopsy and the culture of bronchial secretions obtained by bronchoscopy. Mediastinal lymphadenopathy was diagnosed as sarcoidosis by endobronchial ultrasound-guided transbronchial needle aspiration, and by some clinical findings. Later, a shadow in the left lower lobe of lung had grown and was diagnosed as pulmonary pleomorphic carcinoma by video-assisted thoracoscopic lung surgery. In consideration of the possibility for multiple respiratory diseases, we added some investigations and made accurate diagnoses. To our knowledge, this is the first case of pleomorphic carcinoma complicated with sarcoidosis and pulmonary nontuberculous mycobacteriosis.

KEYWORDS

Pleomorphic carcinoma  Sarcoidosis  Pulmonary non-tuberculous mycobacteriosis 

Received 4 Jun 2013 / Accepted 3 Sep 2013

AJRS, 3(1): 103-106, 2014

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