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Minute pulmonary meningothelial-like nodules coexisting with pulmonary cryptococcosis mimicking lung cancer

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Abstract

A 68-year-old woman was found to have an abnormal shadow on chest X-ray. Computed tomography showed some small ground-glass opacities in the bilateral lung field and also a 22-mm tumor in the left lower lobe, which showed high accumulation on 18F fluorodeoxyglucose positron emission tomography. Each of them was difficult to distinguish from lung cancer clinically. Preoperative localization of a small ground-glass opacity nodule with computed tomography-guided lipiodol marking and resection of each using a fluoroscopic unit was performed. Pathological findings from the small nodule showed minute pulmonary meningothelial-like nodule, and those from the tumor and fungal culture showed pulmonary cryptococcosis. To the best of our knowledge, this is the first reported case of coexisting minute pulmonary meningothelial-like nodules and pulmonary cryptococcosis mimicking lung cancer. Thoracoscopy assisted by computed tomography-guided lipiodol marking enabled us to diagnose them.

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Authors and Affiliations

  1. Department of General Thoracic Surgery, Yokohama Municipal Citizen’s Hospital, 56 Okazawa-cho, Hodogaya-ku, Yokohama-shi, Kanagawa-ken, 240-8555, Japan

    Kazunori Kamiya & Akira Yoshizu

  2. Department of Respirology, Yokohama Municipal Citizen’s Hospital, Yokohama-shi, Japan

    Fumihiro Kashizaki & Naoya Hida

  3. Department of Pathology, Yokohama Municipal Citizen’s Hospital, Yokohama-shi, Japan

    Hiroyuki Hayashi

Authors
  1. Kazunori Kamiya
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  2. Akira Yoshizu
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  3. Fumihiro Kashizaki
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  4. Naoya Hida
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  5. Hiroyuki Hayashi
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Correspondence to Kazunori Kamiya.

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Kamiya, K., Yoshizu, A., Kashizaki, F. et al. Minute pulmonary meningothelial-like nodules coexisting with pulmonary cryptococcosis mimicking lung cancer. Gen Thorac Cardiovasc Surg 61, 659–662 (2013). https://doi.org/10.1007/s11748-012-0169-1

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  • DOI: https://doi.org/10.1007/s11748-012-0169-1

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