術前診断が困難であった肺放線菌症の1例

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  • A Case of Pulmonary <I>Actinomyces</I> Difficult to Diagnose Preoperatively

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A 57–year–old man seen for an abnormal right lung shadow was found in computed tomography (CT) to have a 30 mm lesion with a central low–density area in the middle right lobe. Although pathological examination in transbronchial biopsy showed no malignant findings, radiological findings strongly suggested lung cancer, necessitating right middle lobectomy. The postoperative course was uneventful. Histopathologically, the lesion was pulmonary actinomyces. Pulmonary actinomyces is difficult to distinguish from lung cancer clinically or in imaging. Surgical resection may thus be useful diagnostically and therapeutically.

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