A case of lung cholesterol granuloma with ground-glass opacity mimicking primary lung adenocarcinoma
Takuma Tsuchiyaa Yoshio Tomizawaa Gen Takahashia Akihiro Yoshiia Osamu Kawashimab Ryusei Saitoa
aDepartment of Respiratory Medicine, National Hospital Organization Nishigunma Hospital
bDepartment of Thoracic Surgery, National Hospital Organization Nishigunma Hospital
A 56-year-old woman underwent a left upper lobectomy for primary lung adenocarcinoma. At 4 years and 5 months after the operation, she presented two localized ground-glass opacities (GGO) in the left lower lobe. Both were resected, and a diagnosis of adenocarcinoma was made. At 2 years and 8 months after the second operation, localized GGO appeared and grew in the remaining left lower lobe. Partial resection for the GGO was performed, and a diagnosis of cholesterol granuloma was made. Because there are no reports of cholesterol granuloma showing localized GGO in a CT scan, it is difficult to suspect cholesterol granuloma with GGO. Furthermore, it is more difficult to diagnose cholesterol granuloma with GGO in patients having a history of metachronous lung adenocarcinoma.
Ground-glass opacity (GGO) Cholesterol granuloma Postoperative state of primary lung cancer Metachronous lung adenocarcinoma
Received 26 Apr 2013 / Accepted 29 Jul 2013
AJRS, 2(6): 818-821, 2013