The Japanese journal of thoracic diseases
Online ISSN : 1883-471X
Print ISSN : 0301-1542
ISSN-L : 0301-1542
A Case Report of Cavitary Bronchial Carcinoma with Intracavitary Aspergillosis
Hironori TanakaHiroaki NaruseKazuko ItoNaoki NishiwakiMasao HiroseMunehiko Morishita
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1993 Volume 31 Issue 3 Pages 360-363

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Abstract
A 64-year-old male with cavitary bronchial carcinoma underwent right middle and lower lobectomy. The presence of a mural nodule in the cavity suggested that the cancer originated from the bulla wall. Histologically, adenocarcinoma was found to invade the entire cavity wall, and aspergillus was detected in the intracavitary space. Of 6 patients with cavitary bronchiolar carcinoma with intracavitary aspergillosis is reported in Japan including this case, 3 were treated for aspergillus before operation because X-ray had revealed fungus ball shadow.
Although the mechanism by which aspergillus infects patients with cavitary bronchial carcinoma is not precisely known, it is suggested that this type of carcinoma originates from the bulla wall and that there is considerable time for infection with aspergillus to develop.
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© by The Japanese Respiratory Society
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