Abstract
A 74 year-old woman, who had been treated for uveitis and glaucoma for seven years, was referred for evaluation of a nodular shadow on chest radiogragh.
Since the abnormal shadow in the right upper lobe increased gradually, she was referred to our hospital. After a diagnosis of primary lung cancer was made, right upper lobectomy was performed on 12th July, 1984. Histopathological findings of the resected lung showed the coexistence of adenocarcinoma and non-caseous epitheloid cell granuloma in the area of cancer, and the presence of diffuse non-caseous granulomas in the non-cancerous region.
The serum ACE level was elevated, and the percentage of T-cell and OKT4/OKT8 ratio increased in bronchial alveolar lavage of the left lung at eight month after operation. Primary lung cancer (adenocarcinoma) of the right upper lobe associated with sarcoidosis was diagnosed.
