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Case Reports
Endobronchial actinomycosis simulating bronchogenic carcinoma. Diagnosis by bronchial biopsy.
- I Ariel, R Breuer, N S Kamal, I Ben-Dov, P Mogel, and E Rosenmann.
- Department of Pathology, Hadassah University Hospital Mount Scopus, Jerusalem, Israel.
- Chest. 1991 Feb 1; 99 (2): 493495493-5.
AbstractFive cases of actinomycosis of the main bronchi or trachea which were suggestive clinically of bronchogenic carcinoma are described. In four patients the correct diagnosis was made by a bronchial biopsy or wash, or both. Three of them recovered following antibiotic treatment, and one died a few days after bronchoscopy. In one case the Actinomyces were found in the bronchial wash retrospectively following diagnosis of pulmonary actinomycosis in the lobectomy specimen. A concomitant endobronchial lipoma was found in one of the patients. The diagnosis of pulmonary actinomycosis by bronchial biopsy may save the patient major surgical intervention.
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