Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Node-bronchial Fistula by Non-small Cell Lung Cancer

비소세포성 폐암으로 인한 기관지 림프절 누공 1예

  • Kim, Seo-Woo (Department of Internal Medicine, Ewha Womans University School of Medicine) ;
  • Kim, Hyun-Kyung (Department of Internal Medicine, Ewha Womans University School of Medicine) ;
  • Jeun, Sung-Joung (Department of Internal Medicine, Ewha Womans University School of Medicine) ;
  • Park, Hye-Sung (Department of Internal Medicine, Ewha Womans University School of Medicine) ;
  • Jang, Jung-Hyun (Department of Internal Medicine, Ewha Womans University School of Medicine) ;
  • Lee, Jin-Hwa (Department of Internal Medicine, Ewha Womans University School of Medicine) ;
  • Ryu, Yon-Ju (Department of Internal Medicine, Ewha Womans University School of Medicine) ;
  • Sim, Sung-Shin (Department of Radiology, Ewha Womans University School of Medicine) ;
  • Chun, Eun-Mi (Department of Internal Medicine, Ewha Womans University School of Medicine)
  • 김서우 (이화여자대학교 의학전문대학원 내과학교실) ;
  • 김현경 (이화여자대학교 의학전문대학원 내과학교실) ;
  • 전승정 (이화여자대학교 의학전문대학원 내과학교실) ;
  • 박혜성 (이화여자대학교 의학전문대학원 내과학교실) ;
  • 장중현 (이화여자대학교 의학전문대학원 내과학교실) ;
  • 이진화 (이화여자대학교 의학전문대학원 내과학교실) ;
  • 류연주 (이화여자대학교 의학전문대학원 내과학교실) ;
  • 심성신 (이화여자대학교 의학전문대학원 영상의학교실) ;
  • 천은미 (이화여자대학교 의학전문대학원 내과학교실)
  • Received : 2009.07.21
  • Accepted : 2009.12.04
  • Published : 2010.04.30
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Abstract

Lymphadenopathy in the thoracic cavity is frequently caused by inflammatory diseases. In very rare cases, the node-bronchial fistula has been reported to be the cause of complications of pulmonary tuberculosis. A male patient with necrotizing pneumonia and mediastinal lymph node enlargements identified by chest computed tomography was also found to have a node-bronchial fistula caused by lung cancer. The patient was treated for tuberculosis with pneumonia for one week before a definitive diagnosis was made. A further investigation revealed him to have non-small cell lung cancer (NSCLC, adenocarcinoma) and multiple mediastinal lymphadenopathies accompanied with the node-bronchial fistula. We report this specific case that had been previously treated for tuberculosis but was later revealed to be NSCLC accompanied with a node-bronchial fistula.

Keywords

References

  1. Im JG, Lee KS. The chest radiology. 1st ed. Seoul: Ilchokak; 2000.
  2. Iselin H, Suter F. The role of perforation of hilar lymph nodes into the bronchial tree of adults. Chest 1954;25:302-11. https://doi.org/10.1378/chest.25.3.302
  3. Jiang B, Wu GP, Zhao YJ, Wang SC. Transcription expression and clinical significance of TTF-1 mRNA in pleural effusion of patients with lung cancer. Diagn Cytopathol 2008;36:849-54. https://doi.org/10.1002/dc.20926
  4. Mountain CF, Dresler CM. Regional lymph node classification for lung cancer staging. Chest 1997;111:1718-23. https://doi.org/10.1378/chest.111.6.1718
  5. Lois M, Noppen M. Bronchopleural fistulas: an overview of the problem with special focus on endoscopic management. Chest 2005;128:3955-65. https://doi.org/10.1378/chest.128.6.3955
  6. Park EH, Jang TW, Park MI, Song JY, Choi IS, Oak CH, et al. A case of esophago-mediatinal fistula due to esophageal tuberculosis. Tuberc Respir Dis 2007;62:531-5. https://doi.org/10.4046/trd.2007.62.6.531
  7. Gu P, Zhao YZ, Jiang LY, Zhang W, Xin Y, Han BH. Endobronchial ultrasound-guided transbronchial needle aspiration for staging of lung cancer: a systematic review and meta-analysis. Eur J Cancer 2009;45:1389-96. https://doi.org/10.1016/j.ejca.2008.11.043
  8. Zwischenberger JB, Savage C, Alpard SK, Anderson CM, Marroquin S, Goodacre BW. Mediastinal transthoracic needle and core lymph node biopsy: should it replace mediastinoscopy? Chest 2002;121:1165-70. https://doi.org/10.1378/chest.121.4.1165
  9. Wang MZ, Wan XB, Chen Y, Zhang L, Zhong W, Zhong X, et al. The results of transbronchial needle aspiration in 164 cases with enlarged mediastinal and/or hilar lymph nodes. Zhonghua Nei Ke Za Zhi 2009;48:133-5.
  10. Fritscher-Ravens A, Bohuslavizki KH, Brandt L, Bobrowski C, Lund C, Knofel WT, et al. Mediastinal lymph node involvement in potentially resectable lung cancer: comparison of CT, positron emission tomography, and endoscopic ultrasonography with and without fine-needle aspiration. Chest 2003;123:442-51. https://doi.org/10.1378/chest.123.2.442