Vol 75, No 4 (2007)
CASE REPORTS
Published online: 2007-10-26
Submitted: 2013-02-22
Organising pneumonia and lung cancer - case report and review of the literature
Elżbieta Radzikowska, Urszula Nowicka, Elżbieta Wiatr, Lila Jakubowska, Renata Langfort, Mariusz Chabowski, Kazimierz Roszkowski
Pneumonol Alergol Pol 2007;75(4):394-397.
Vol 75, No 4 (2007)
CASE REPORTS
Published online: 2007-10-26
Submitted: 2013-02-22
Abstract
Organising pneumonia (OP) is a distinct clinicopathological entity resulting from pulmonary reaction to noxious environmental or
endogenous factors, but also idiopathic cases have been noted. Frequently, small foci of OP accompany lung cancer infiltrations. Also
OP is sometimes a reaction to radio- or chemotherapy, but it is rarely a predominant lesion in the course of lung cancer.
We present the case of 65-year-old patient who presented with fever, dry cough, exertional dyspnoea and pneumonic consolidation in
the right lower lobe. Bronchoscopy revealed squamous carcinoma obstructing the right lower bronchi. He was surgically treated, and
the right lower lobe was resected. Pathological examination of a specimen revealed only small infiltration of carcinoma cells in the wall
of the bronchi and large confluent areas of organising pneumonia. Surgery was a sufficient treatment for both diseases. Six months
later he was in good condition without any pulmonary infiltrations.
To sum up, a case of endobronchial squamous cell carcinoma in stage T1N0M0 with predominant clinical and radiological signs of OP
is presented.
Abstract
Organising pneumonia (OP) is a distinct clinicopathological entity resulting from pulmonary reaction to noxious environmental or
endogenous factors, but also idiopathic cases have been noted. Frequently, small foci of OP accompany lung cancer infiltrations. Also
OP is sometimes a reaction to radio- or chemotherapy, but it is rarely a predominant lesion in the course of lung cancer.
We present the case of 65-year-old patient who presented with fever, dry cough, exertional dyspnoea and pneumonic consolidation in
the right lower lobe. Bronchoscopy revealed squamous carcinoma obstructing the right lower bronchi. He was surgically treated, and
the right lower lobe was resected. Pathological examination of a specimen revealed only small infiltration of carcinoma cells in the wall
of the bronchi and large confluent areas of organising pneumonia. Surgery was a sufficient treatment for both diseases. Six months
later he was in good condition without any pulmonary infiltrations.
To sum up, a case of endobronchial squamous cell carcinoma in stage T1N0M0 with predominant clinical and radiological signs of OP
is presented.
Keywords
organising pneumonia; lung cancer
Title
Organising pneumonia and lung cancer - case report and review of the literature
Journal
Advances in Respiratory Medicine
Issue
Vol 75, No 4 (2007)
Pages
394-397
Published online
2007-10-26
Bibliographic record
Pneumonol Alergol Pol 2007;75(4):394-397.
Keywords
organising pneumonia
lung cancer
Authors
Elżbieta Radzikowska
Urszula Nowicka
Elżbieta Wiatr
Lila Jakubowska
Renata Langfort
Mariusz Chabowski
Kazimierz Roszkowski
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