Title: Non-Specific Inflammatory Intra-Thoracic Mass Mimicking Malignancy: A Case Report
Author: Satya Prakash Meena, Biplab Mishra, Rajinder Parshad, Mohit Joshi, Sudheer Arava, Sivasai Krishanaparsad K, Mufaddal Kazi
DOI: http://dx.doi.org/10.18535/jmscr/v4i4.10
A 42-year-old man presented with long standing history of cough with hemoptysis. The clinical and radiological features were suspicious for a low grade malignancy. An enbloc resection of tumor with adherent chest wall and diaphragm was performed. The histological finding of chronic non-specific inflammation surprised us. Although few benign intra thoracic mass lesions are known to mimic lung cancer but a non- specific inflammatory mass lesion in thorax masquerading as malignancy has never been reported. We report our experience with this unique clinical entity and also discuss the diagnostic and therapeutic challenge we faced in managing this patient. Keywords- Cough, Hemoptysis, Nonspecific inflammatory mass, Thorax, Malignancy 1. Pattinato G ,Manival ,J.C.,Derosa N and Dehner ,L.P. Imflammatory myofibroblastic tumor –clinico pathological study of cases with immunohistochemical and ultrastructural observations. Am J Clin 1990,94,538-546 2. Melloni G ,Caretta,A ,Ciriaco ,P ,Arrigoni, G ,Fieschi S Rizzo N et al. Imflammatory pseudotumor of the lung in adult .Ann Thorac Surg 2005, 79.,426-432 3. Sakural H , Hasogawa ,t,Watanabe , S.Suzuki k Imflammatory myofibroblastic tumor of the lung Europian J Cardio-Thoracic surg 2004,25 ,155-159. 4. Shininchi Takeda, Yasuyo onishi ,Tomohiro etal:Clinical spectrum of pulmonary imflammatory myofibroblastic tumor. In cardiovasc Thorac Surg (2008) 7 (4)629-633 5. Agrons ,G A ,Rosado de Christenson ,M.L.etal Pulmonary imflammatory pseudotumor radiological features ,Radiology 1996 ,208,511-518 6. Taichiro G ,KumiA ,Arafurmi M and Ryoichi K Surgery for recurrent imflammatory pseudotumor of the lung .Word J Surg Oncol 2011 ,9,133 7. Cerfolio R J Allen ,M.S. Nascimento A.G. et al Imflammatory pseudotumor of the lung :Thoracic Surg :1999 ,67,933-936 8. (8)Matsubara, O,Tan liu.N.S.Kenney, R.M. And Mark: A: Imflammatory pseudotumor of the lung progression from organizing pneumonia to fibrous histocytoma or to plasma cell granuloma in a 32 cases. Mum patoi 1988 ,19 ,807-814 9. Siosman D.O ,Spilopoulos ,A, Lamoine , R.,Besse etal :Quantitative metabolic P.E.T.Imaging of a plasma cell granuloma , J Thoracic Imaging 1994 ,9 ,116-119 10. Kobashi Y ,Fukuda ,M ,Nakata M ,Oka M Etal :Imflammatory pseudotumor of lung –Clinico pathological analysis inseven adult patients :Int J Oncol 2006, 11, 461-466 11. Rolston KV, Rodriguez S,Dholakia N: Pulmonary infection mimicking cancer : a retrospective ,three year review(1997) study of texas, Support care cancer 5(2) 90-93. 12. Schweigert M, Dubecz A, Beron M etal : Pulmonary infection initiating lung cancer :clinical presentation and therapeutical approach.Ir J Med Sci 182(1) :73-80 .Abstract
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