The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Mass-forming Eosinophilic Infiltration Involving the Central Airway: A Case Report of Endobronchial Involvement of Eosinophilic Inflammation Mimicking Bronchogenic Malignancy

호산구성 염증을 동반한 기관지 협착이 폐암으로 오인된 증례 1예

  • Hong, Won-Jung (Department of Internal Medicine, CHA Bundang Medical Center, College of Medicine, CHA University) ;
  • Park, Chi Young (Department of Internal Medicine, CHA Bundang Medical Center, College of Medicine, CHA University) ;
  • Ko, Eun-Jung (Department of Internal Medicine, CHA Bundang Medical Center, College of Medicine, CHA University) ;
  • Cho, Sang-Ho (Department of Pathology, CHA Bundang Medical Center, College of Medicine, CHA University) ;
  • Chong, So Young (Department of Internal Medicine, CHA Bundang Medical Center, College of Medicine, CHA University) ;
  • Jeong, Hye-Cheol (Department of Internal Medicine, CHA Bundang Medical Center, College of Medicine, CHA University)
  • 홍원정 (차의과학대학교 내과학교실) ;
  • 박치영 (차의과학대학교 내과학교실) ;
  • 고은정 (차의과학대학교 내과학교실) ;
  • 조상호 (차의과학대학교 병리학교실) ;
  • 정소영 (차의과학대학교 내과학교실) ;
  • 정혜철 (차의과학대학교 내과학교실)
  • Received : 2014.05.27
  • Accepted : 2014.06.27
  • Published : 2014.12.01
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Abstract

We report a very unusual case of endobronchial involvement of eosinophilic inflammation. A 58-year-old woman visited our clinic complaining of cough. A chest computed tomography scan showed a poorly enhancing mass compressing both main bronchi in the subcarinal area. Bronchoscopy also showed stenosis of the two main bronchi with irregular mucosal thickening. A bronchoscopic endobronchial mucosal biopsy revealed eosinophilic inflammation without evidence of malignancy. The subcarinal mass disappeared after systemic steroid treatment. This is the first report of mass-forming eosinophilic infiltration involving the central airway mimicking primary lung cancer.

Keywords

References

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