A case of pulmonary aspergillosis with simultaneous lung and liver cancer

Akiko Yamazaki, Mamoru Siga, Yoshitaka Yoshida, Nobuyuki Kuwabara, Naoaki Ban, Keisuke Kato, Hideharu Hata, Masahiro Hikose, Rieko Kondou, Takahiko Horiguti

Research output: Contribution to journalArticlepeer-review

Abstract

We would like to present a case of pulmonary aspergillosis with simultaneous lung and liver cancer. A 73-year-old man was diagnosed with pulmonary aspergillosis from a lung mass. The patient partially responded to anti-fungal drug treatment. Unfortunately, chest CT performed 7 months later revealed progression to the lung cavity at the right upper lobe. A bronchoscopy, performed for tissue diagnosis, established a diagnosis of adenocarcinoma. A subsequent blood test revealed a high level of carcinoembryonic antigen (228.5 ng/ml). We investigated the primary source of the carcinoma by performing CT and PET on the whole abdomen. Based on our findings, we made a definite diagnosis of hepatocellular carcinoma and simultaneous tumor with adenocarcinoma of the right lung that correlated with a staging of T4N2M0 (Stage IIIB). However, these cancers were comorbid with pulmonary aspergillosis.

Original languageEnglish
Pages (from-to)1266-1273
Number of pages8
JournalJapanese Journal of Chest Diseases
Volume74
Issue number11
Publication statusPublished - 11-2015

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine

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