Abstract
A 68-year-old male with a tracheostoma due to hypopharyngeal cancer was admitted because his chest computed tomography (CT) showed a small nodule in the right middle lobe. Following a partial resection of the right middle lobe, histopathological diagnosis of the resected sample was that of organizing pneumonia. Eleven months later, chest CT showed a mass with pleural indentation and spiculation in the right middle lobe. 18-Fluorodeoxyglucose-positron emission tomography showed significant accumulation in the middle lobe tumor mass shadow. The abnormal chest shadow that had developed around surgical staples suggested inadequate resection and tumor recurrence. As the abnormal radiological shadow was enlarging, middle lobectomy was carried out. Histological examination revealed that the tumor was a lung abscess without malignant features. This is a unique case of lung abscess mimicking lung cancer which developed around staples used during partial resection of the lung.
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Kakinuma R, Ohmatsu H, Kaneko M, Eguchi K, Naruke T, Nagai K, et al. Detection failures in spiral CT screening for lung cancer: analysis of CT findings. Radiology. 1999;212:61–6.
Cronin P, Dwamena BA, Kelly AM, Bernstein SJ, Carlos RC. Solitary pulmonary nodules and masses: a meta-analysis of the diagnostic utility of alternative imaging tests. Eur Radiol. 2008;18:1840–56.
Cronin P, Dwamena BA, Kelly AM, Carlos RC. Solitary pulmonary nodules: meta-analytic comparison of cross-sectional imaging modalities for diagnosis of malignancy. Radiology. 2008;246:772–82.
Gould MK, Maclean CC, Kuschner WG, Rydzak CE, Owens DK. Accuracy of positron emission tomography for diagnosis of pulmonary nodules and mass lesions: a meta-analysis. JAMA. 2001;285:914–24.
Fortes DL, Allen MS, Lowe VJ, Shen KR, Wigle DA, Cassivi SD, et al. The sensitivity of 18F-fluorodeoxyglucose positron emission tomography in the evaluation of metastatic pulmonary nodules. Eur J Cardiothorac Surg. 2008;34:1223–7.
Groskin SA, Panicek DM, Ewing DK, Rivera F, Math K, Teixeira J, et al. Bacterial lung abscess: a review of the radiographic and clinical features of 50 cases. J Thorac Imaging. 1991;6:62–7.
Muir DC. Inhaled particles. BTTA Rev. 1973;3:65–74.
Graney DO. Anatomy, larynx/hypopharynx. In: Cummigs CW, editor. Otolaryngology-head and neck surgery. 1st ed. St. Louis: CV Mosby; 1986. p. 1729–39.
Mori T, Ebe T, Takahashi M, Isonuma H, Ikemoto H, Oguri T. Lung abscess: analysis of 66 cases from 1979 to 1991. Intern Med. 1993;32:278–84.
Wiedemann HP, Rice TW. Lung abscess and empyema. Semin Thorac Cardiovasc Surg. 1995;7:119–28.
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Watanabe and co-authors have no conflict of interest.
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Watanabe, Y., Aoki, M., Suzuki, S. et al. Lung abscess mimicking lung cancer developed around staples in a patient with permanent tracheostoma. Gen Thorac Cardiovasc Surg 63, 632–635 (2015). https://doi.org/10.1007/s11748-014-0392-z
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DOI: https://doi.org/10.1007/s11748-014-0392-z