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Vol.38 No.6 contents | Japanese/English |
- Case Report -
A Case of Aspergilloma with Adenocarcinoma in the Cavity Wall
Munehiro Nishida, Shinji Maebeya, Toshiya Bessho, Tatsuya Yoshimasu, Shinichiro Miyoshi* and Yasuaki NaitoDepartment of Thoracic and Cardiovascular Surgery, Wakayama Medical School, Wakayama, Japan, First Department of Surgery, Osaka University School of Medicine, Suita, Japan*
A 66-year-old man complained of bloody sputum. A chest computed tomography scan revealed a cavity containing a mass lesion suggestive of a fungus ball within the cavity. A serum test for antigen against Aspergillus was positive. Examination of his sputum showed hyphae of aspergilli, Pulmonary aspergillosis was diagnosed and he underwent right upper lobectomy. The histological examination of the resected specimen showed colonies of aspergilli in the cavity and well differentiated adenocarcinoma in the cavitary wall. Reported cases of lung cancer with intracavitary aspergillus infection are rare and only 11 cases have been reported in Japan.
key words: Pulmonary Aspergillosis, Lung cancer, Aspergilloma, Cyst, Renal failure
Received: May 8, 1998
Accepted: September 1, 1998
JJLC 38 (6): 733-737, 1998
