2015 Volume 29 Issue 1 Pages 42-45
A 65-year-old man complained of hemosputum and was examined at a nearby hospital. Chest CT revealed a flat-shaped mass shadow in the right upper lobe, and trans-bronchoscopic biopsy failed to diagnose it. He was referred to our hospital for further examinations and one-year follow-up, which revealed the existence of a mass shadow with partial shrinkage. To diagnose and treat the patient, a right upper lobectomy by video-assisted thoracic surgery was performed due to the central lobar location of the mass. Scedosporium apiospermum, a filamentous fungus like aspergilli, was detected in the mass but there was no malignant tissue. Unlike pulmonary aspergillosis, scedosporial infection is likely to disseminate on surgical resection, and so voriconazole was administered for two months as adjuvant chemotherapy.
