A surgical case of lung cancer detected on treatment for coronavirus disease 2019
Hideto Oshita Misato Senoo Asami Inoue Yuka Sano Koji Yoshioka Yasuhiko Ikegami
Department of Respiratory Internal Medicine, Federation of National Public Service and Affiliated Personnel Mutual Aid Associations, Yoshijima Hospital
An 80-year-old man developed fever and cough and was diagnosed with coronavirus disease 2019 (COVID-19). Because chest CT at the time of diagnosis of COVID-19 showed a shadow in the lower lobe of the right lung, bronchoscopy was performed after his isolation period, and he was diagnosed with adenocarcinoma. Although the CT scan and FDG-PET showed swelling and FDG accumulation in the subcarinal lymph nodes, surgery revealed no metastases to the subcarinal lymph nodes. Mediastinal lymphadenopathy, probably due to COVID-19, made staging difficult. We were able to confirm histopathological findings consistent with organizing pneumonia that is part of the healing process for COVID-19 pneumonia.
Coronavirus disease 2019 (COVID-19) Lung cancer Mediastinal lymphadenopathy Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA)
Received 29 Nov 2021 / Accepted 27 Jan 2022
AJRS, 11(3): 148-151, 2022