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Endobronchial Mimics of Lung Cancer

机译:肺癌的支气管内模拟物

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Background: Benign conditions such as polyps, tuberculosis, sarcoidosis, and so on, can present as endobronchial obstructive lesions and can cause diagnostic difficulties,Case Presentation: A 72-year-old man attended our clinic with an 8-week history of breathlessness, cough, and wheeze. Chest radiograph revealed loculated effusion, and bronchoscopy showed fleshy endobronchial obstruction. After the bronchoscopy, the patient was informed that the appearances were suggestive of lung cancer, although initial and repeat bronchoscopic biopsies proved to be negative for carcinoma. Subsequent aspiration and culture of the effusion revealed Actinomyces israelii. Penicillin treatment resulted in complete resolution of the fluid and endobronchial lesion. Subsequent interrogation of a computerized bronchoscopy database revealed that such endobronchial mimics of lung cancer accounted for 17 of 1122 (1.5%) of visualized endobronchial lesions.Conclusions: Endobronchial mimics of lung cancer account for approximately 1.5% of endobronchial lesions. This highlights the importance of achieving a definite histologic diagnosis in all such cases whenever possible because most of them are benign in nature and relatively easy to treat.
机译:背景:息肉,肺结核,结节病等良性疾病可表现为支气管内阻塞性病变,并可能导致诊断困难。病例报告:一名72岁的男性患者到我们诊所就诊了8周的呼吸困难,咳嗽和喘息。胸部X线片显示有局部积液,支气管镜检查显示多肉的支气管内阻塞。支气管镜检查后,尽管最初和重复的支气管镜活检证明对癌症阴性,但患者仍被告知患儿提示肺癌。随后的积液抽吸和培养显示以色列放线菌。青霉素治疗可以使液体和支气管内病变完全消退。随后对计算机支气管镜数据库的询问显示,此类肺癌的支气管内模拟物占可视化支气管内病变的1122例中有17例(占1.5%)。结论:肺癌的支气管内模拟物约占支气管内病变的1.5%。这凸显了在所有可能的情况下实现明确的组织学诊断的重要性,因为它们中的大多数本质上都是良性的并且相对容易治疗。

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