Preview

PULMONOLOGIYA

Advanced search

Pseudotumor bronchial lesion in sarcoidosis: A rare case

https://doi.org/10.18093/0869-0189-2017-27-1-103-107

Abstract

A case of recurrent sarcoidosis of intrathoracic lymth nodes and the lungs with development of tumor-like sarcoid granuloma narrowing the middle lobe bronchus and the right intermediate bronchus is reported in the article. The tumor-like sarcoid endobronchial mass was destructed using endoscopic Holmium YAG lazer. Combined treatment with endoscopic lazer ablation and systemic steroids resulted in successful reopening the bronchi.

About the Authors

N. V. Chernichenko
Federal Russian Academic Radiology Center, Healthcare Ministry of Russia
Russian Federation
Doctor of Medicine, Leading Researcher, Division of Surgery and Surgical Technologies in Oncology


I. O. Susarev
Federal Russian Academic Radiology Center, Healthcare Ministry of Russia
Russian Federation
an endoscopist, Department of Intraluminal Endoscopic Diagnosis and Treatment


Ya. Yu. Murzin
Federal Russian Academic Radiology Center, Healthcare Ministry of Russia
Russian Federation
Candidate of Medicine, a surgeon, Surgical Department No. 2


P. M. Kotlyarov
Federal Russian Academic Radiology Center, Healthcare Ministry of Russia
Russian Federation
Doctor of Medicine, Professor, Head of Research Department of Novel Technologies and Radiological Diagnosis of Diseases


O. P. Bliznyukov
Federal Russian Academic Radiology Center, Healthcare Ministry of Russia
Russian Federation
Doctor of Medicine, Head of Department of Pathology


References

1. Baughman R.P., Field S., Costabel U. et al. Sarcoidosis in America. Analysis Based on Health Care Use. Ann. Am. Thorac. Soc. 2016; 13 (8): 1244–1252. DOI: 10.1513/AnnalsATS.201511-760OC.

2. Baughman R.P., Culver D.A., Judson M.A. A concise review of pulmonary sarcoidosis. Am. J. Respir. Crit. Care Med. 2011; 183 (5): 573–581. DOI: 10.1164/rccm.201006-0865CI.

3. Chuchalin A.G., ed. Pulmonology: National Handbook. Moscow: GEOTAR-Media; 2009 (in Russian).

4. Chuchalin A.G., ed. Pulmonology: Clinical Guidelines: Moscow: GEOTAR-Media; 2009 (in Russian).

5. Li Z., Li X., Song Z. et al. Sarcoidosis misdiagnosed as malignant tumors: a case report. World J. Surg. Oncol. 2015; 13: 333. DOI: 10.1186/s12957-015-0748-6.

6. Mukhopadhyay S., Gal A.A. Granulomatous lung disease: an approach to the differential diagnosis. Arch. Pathol. Lab. Med. 2010; 134: 667–690. DOI: 10.1043/1543-2165-134.5.667.

7. Iannuzzi M.C., Rybicki B.A., Teirstein A.S. Sarcoidosis. N. Engl. J. Med. 2007; 357 (21): 2153–2165. DOI: 10.1056/NEJMra071714.

8. Filippov V.P. and Chernichenko N.V. Bronchoscopy in Lung Diseases. Moscow: Binom; 2014 (in Russian).

9. Gupta D., Dadhwal D.S., Agarwal R. et al. Endobronchial ultrasound-guided transbronchial needle aspiration vs conventional transbronchial needle aspiration in the diagnosis of sarcoidosis. Chest. 2014; 146 (3): 547–556. DOI: 10.1378/chest.13-2339.

10. von Bartheld M.B., Dekkers O.M., Szlubowski A. et al. Endosonography vs conventional bronchoscopy for the diagnosis of sarcoidosis: the GRANULOMA randomized clinical trial. JAMA. 2013; 309 (23): 2457–2464. DOI: 10.1001/jama.2013.5823.

11. Sonntag P.D., Hinshaw J.L., Lubner M.G. et al. Thermal ablation of lung tumors. Surg. Oncol. Clin. N. Am. 2011; 20 (2): 369–387. DOI: 10.1016/j.soc.2010.11.008.

12. Msaad S., Ketata W., Abid N. et al. Pseudotumor phenotype of sarcoidosis: about two cases. Rev. Mal. Respir. 2013; 30 (9): 794–800. DOI: 10.1016/j.rmr.2013.04.017.

13. Schneider T., Heussel C.P., Herth F.J.F., Dienemann H. Thermal ablation of malignant lung tumors. Dtsch. Arztebl. Int. 2013; 110 (22): 394–400. DOI: 10.3238/arztebl.2013.0394.

14. Khemasuwan D., Mehta A.C., Wang K.P. Past, present, and future of endobronchial laser photoresection. J. Thorac. Dis. 2015; 7 (Suppl. 4): S380–S388. DOI: 10.3978/j.issn.2072-1439.2015.12.55.

15. Grachev S.V., Dzhibladze T.A., and Zagorodniy N.V. Holmium Lazer in Medicine. Moscow: Triada-Kh; 2003 (in Russian).


Review

For citations:


Chernichenko N.V., Susarev I.O., Murzin Ya.Yu., Kotlyarov P.M., Bliznyukov O.P. Pseudotumor bronchial lesion in sarcoidosis: A rare case. PULMONOLOGIYA. 2017;27(1):103-107. (In Russ.) https://doi.org/10.18093/0869-0189-2017-27-1-103-107

Views: 659


ISSN 0869-0189 (Print)
ISSN 2541-9617 (Online)