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日本呼吸器学会英文誌 Respiratory Investigation
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Abstract

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Article in Japanese

Case Report

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

ABSTRACT

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.

KEYWORDS

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

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