BJR
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
This Article
Right arrow Figures Only
Right arrow Full Text
Right arrow Full Text (PDF)
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Sun, L-M
Right arrow Articles by Wang, C-J
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Sun, L-M
Right arrow Articles by Wang, C-J
British Journal of Radiology 75 (2002),275-278 © 2002 The British Institute of Radiology

Case report

Cryptococcus infection in a patient with nasopharyngeal carcinoma: imaging findings mimicking pulmonary metastases

L-M Sun, MD 1 T-Y Chen, MD 2 W-J Chen, MD 3 M-J Hsieh, MD 4 J-W Liu, MD 5 C-C Huang, MD 3 and C-J Wang, MD 1

Departments of 1 Radiation Oncology, 2 Radiology, 3 Pathology and 4 Division of Thoracic and Cardiovascular Surgery, Department of Cardiovascular Surgery and 5 Division of Infectious Diseases, Department of Internal Medicine, Chang Gung University and Chang Gung Memorial Hospital Kaohsiung Center, 123 Ta-Pei Road, Niao-Sung Hsiang, Kaohsiung Hsien 833, Taiwan

An asymptomatic pulmonary mass was found in a 42-year-old unmarried male with controlled nasopharyngeal carcinoma (NPC) during routine follow-up chest radiography 8 months following completion of radiotherapy. Chest CT demonstrated a 3x2 cm2 left lower lobe (LLL) mass, with further small nodules in the same lobe. A presumptive diagnosis of lung metastases was made, and the patient underwent surgical resection with left lower lobectomy and mediastinal lymph node dissection. Pathologic examination of the masses in the LLL revealed granulomatous inflammation with cryptococcus infection. The dissected lymph nodes revealed anthracosis. The patient received 6 months of antifungal treatment with fluconazole. His NPC showed no evidence of local recurrence or distant metastases. Recognition that pulmonary cryptococcus infection can mimic metastases is important in reaching the correct diagnosis and therefore determining the correct treatment.




This article has been cited by other articles:


Home page
 Am. J. Roentgenol.Home page
D. L. Fox and N. L. Muller
Pulmonary Cryptococcosis in Immunocompetent Patients: CT Findings in 12 Patients
Am. J. Roentgenol., September 1, 2005; 185(3): 622 - 626.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
BJR DMFR IMAGING  ALL BIR JOURNALS 
Copyright © 2002 by the British Institute of Radiology.