2003 Volume 17 Issue 7 Pages 794-797
A 50-year-old female had undergone left upper segmentectomy for stage1A bronchogenic adenocarcinoma in July 1996. In August 2001, a routine chest CT scan detected a mass adjacent to the previous segmentectomy, and local ecurrence of bronchogenic carcinoma was suspected A bronchoscopic examination detected no recurrence, and sputum cytology revealed no malignant cells. Bacteriological examination of her sputum detected no specific findings. She underwent left thoracotmy in October 2001. Needle aspiration cytology revealed pus with tubercle bacilli, and partial resection of the residual left lung was performed.She received anti-tubercle therapy in the postoperative course. The previous CT scan and the operative specimens for bronchogenic carcinoma revealed no finding of pulmonary tuberculosis retrospectively. Small primary-infected lesion reactivated endogenously triggered with the foreign body reaction of staples, leading to disturbance of healing.
