A case of pulmonary tuberculosis with multiple nodules mimicking lung metastases

Morikawa, Kazuhiko; Misumi, Shigeki; Fukuda, T

doi:10.1259/bjrcr.20180124

Cited by 4 publications

(3 citation statements)

References 10 publications

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“…Although this kind of process is most characteristic of Staphylococcus aureus and Klebsiella pneumoniae infections, it can also be seen in Streptococcus pneumoniae, Haemophilus influenzae, Actinomyces, Nocardia and Rhodococcus contagions. Pulmonary tuberculosis (caused by Mycobacterium tuberculosis) and pulmonary mycobacteriosis caused by non-tuberculous mycobacteria may also be the reason why cavitating pulmonary nodules mimic metastases, especially among patients that already suffer from pulmonary diseases in countries like Poland with a relatively high annual incidence of tuberculosis [10,11,12]. Among certain patients percutaneous transthoracic needle aspiration may be diagnostically helpful [12].…”

Section: Discussion An D Co N Cl U Sio N Smentioning

confidence: 99%

Multiple pulmonary cavitating nodules in female with endometrium adenocarcinoma history – difficulties in differentiation between metastases, sarcoidosis and sarcoid-like reaction. Case report

Gałeczka‐Turkiewicz

Galle

Goryczka

et al. 2023

Ann. Acad. Med. Siles.

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Zmiany kawitujące w płucach obrazowane na zdjęciu rentgenowskim klatki piersiowej mogą być diagnostycznym wyzwaniem. W celu dokładnego ustalenia ich przyczyny konieczne jest wzięcie pod uwagę szerokiej diagnostyki różnicowej i przeprowadzenie licznych badań. Kobieta, 44-letnia, z gruczolakiem endometrium w wywiadzie została przyjęta na oddział pulmonologiczny w celu diagnostyki powiększonych węzłów chłonnych śródpiersia i współwystępujących w miąższu płuc guzków. Zdjęcie rentgenowskie i pozytonowa tomografia emisyjna (positron emission tomography – PET) uwidoczniły zmiany kawitujące w płucach, które mogły stanowić przerzuty płucne; jednakże badania laboratoryjne i histopatologiczne nie potwierdziły obecności zmian nowotworowych. W materiale pobranym w trakcie przezoskrzelowej biopsji węzłów chłonnych pod kontrolą ultrasonografii wewnątrzoskrzelowej w czasie rzeczywistym (endobronchial ultrasound-guided transbronchial needle aspiration – EBUS-TBNA) oraz wideotorakoskopii (video-assisted thoracoscopic surgery – VATs) zostały znalezione nieserowaciejące ziarniniaki, które sugerowały rozpoznanie sarkoidozy lub reakcji sarkoidalnej. Dopiero w zaawansowanym stadium zmian płucnych komórki nowotworowe zostały ujawnione w plwocinie. Pomimo wdrożenia chemioterapii pacjentka zmarła. Liczne przerzuty płucne zostały potwierdzone w badaniu post-mortem. Opisany przypadek jest przykładem rzadkiego zjawiska reakcji sarkoidalnej w śródpiersiu i miąższu płuc w wyniku nowotworu zlokalizowanego poniżej przepony. Różnicowanie pomiędzy sarkoidozą, reakcją sarkoidalną i przerzutami do płuc w podobnych przypadkach może stanowić trudność diagnostyczną. Dlatego powinno się powtarzać procedury diagnostyczne takie jak EBUS-TBNA lub VATs u pacjentów z wywiadem onkologicznym.

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Section: Discussion An D Co N Cl U Sio N Smentioning

confidence: 99%

Multiple pulmonary cavitating nodules in female with endometrium adenocarcinoma history – difficulties in differentiation between metastases, sarcoidosis and sarcoid-like reaction. Case report

Gałeczka‐Turkiewicz

Galle

Goryczka

et al. 2023

Ann. Acad. Med. Siles.

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“…[ 6 ] Multiple nodules are mostly seen in tuberculosis and metastases, and these nodules are usually well circumscribed and round in shape. [ 7 ]…”

Section: Discussionmentioning

confidence: 99%

A larval granuloma in the lung: An extremely rare phenomenon

Kılıç¹,

Kılıçarslan²

2021

Turk Gogus Kalp Dama

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The formation of pulmonary nodules is associated with benign or malignant pathologies. Based on the sizes, growth rates, and morphological features of nodules, surgical treatment or follow-up can be performed. Pulmonary nodules are frequently encountered in the practice of thoracic surgery. A 37-year-old male patient who had a 2.0¥1.9 cm nodule in the right lung was followed. His medical history revealed no chronic disease. During follow-up, the sizes of the nodule increased and, therefore, it was removed by wedge resection. The pathological examination result was reported as a larval granuloma. In conclusion, larval granulomas in the lung are extremely rare phenomena and should be further examined.

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“…Tuberculosis infection (TBI) in the bones and lungs may mimic primary or secondary involvement of malignancy [5][6][7][8][9][10]. The bone (especially spinal bones) and the lungs are the most frequent sites of metastasis in patients with a primary cancer.…”

Section: Introductionmentioning

confidence: 99%

Image-guided biopsy-proven lung and skeletal tuberculosis cases mimicking malignancy

Şahin¹,

Camurcuoglu²,

Üçpınar³

et al. 2019

Journal of Surgery and Medicine

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Aim: Tuberculosis diagnosis may be challenging and percutaneous biopsy may be required for definitive diagnosis. In this study, we aimed to investigate the utility of percutaneous biopsy in diagnosis of tuberculosis and radiological features of the tuberculosis cases diagnosed by image-guided biopsy. Methods: The patients who were diagnosed with tuberculosis by image-guided biopsy between 2016 and 2020 in our institution were reviewed retrospectively in these case series. Histories of malignancy or immune deficiency, age and genders of the patients, localizations and radiological imaging findings of the lesions, needle types, imaging methods used for the biopsies and presumptive diagnoses before the biopsies were noted. Results: A total of 16 patients (5 Females, 11 Males) with a mean age of 41 years (range: 17-74 years) had image-guided biopsy with presumptive diagnosis of infection or malignancy. Four patients had transthoracic core-needle-biopsy for lung masses, 12 had curettagebone-biopsy for lytic lesions of vertebral and pelvic bones under CT-guidance. Four of the patients had immune deficiency and one had a history of malignancy. All patients were diagnosed with tuberculosis by both histopathological and culture analysis. Conclusion: Image-guided-biopsy is safe and useful in the diagnosis of tuberculosis cases who could not be diagnosed by laboratory and sputum tests or those with presumptive diagnoses of malignancy. Tuberculosis should be kept in mind during percutaneous biopsy of radiologically suspicious cases as a differential diagnosis, even though they are clinically negative.

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A case of pulmonary tuberculosis with multiple nodules mimicking lung metastases

Cited by 4 publications

References 10 publications

Multiple pulmonary cavitating nodules in female with endometrium adenocarcinoma history – difficulties in differentiation between metastases, sarcoidosis and sarcoid-like reaction. Case report

Multiple pulmonary cavitating nodules in female with endometrium adenocarcinoma history – difficulties in differentiation between metastases, sarcoidosis and sarcoid-like reaction. Case report

A larval granuloma in the lung: An extremely rare phenomenon

Image-guided biopsy-proven lung and skeletal tuberculosis cases mimicking malignancy

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