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KMID : 0383820100680040231
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Tuberculosis and Respiratory Diseases
2010 Volume.68 No. 4 p.231 ~ p.235
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A Case of Node-bronchial Fistula by Non-small Cell Lung Cancer
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Kim Seo-Woo
Kim Hyung-Kyung
Jun Seung-Jung
Park Hye-Sung
Chang Jung-Hyun
Lee Jin-Hwa
Ryu Yon-Ju
Shim Sung-Shine
Chun Eun-Mi
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Abstract
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Lymphadenopathy in the thoracic cavity is frequently caused by inflammatory diseases. In very rare cases, the node-bronchial fistula has been reported to be the cause of complications of pulmonary tuberculosis. A male patient with necrotizing pneumonia and mediastinal lymph node enlargements identified by chest computed tomography was also found to have a node-bronchial fistula caused by lung cancer. The patient was treated for tuberculosis with pneumonia for one week before a definitive diagnosis was made. A further investigation revealed him to have non-small cell lung cancer (NSCLC, adenocarcinoma) and multiple mediastinal lymphadenopathies accompanied with the node-bronchial fistula. We report this specific case that had been previously treated for tuberculosis but was later revealed to be NSCLC accompanied with a node-bronchial fistula.
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KEYWORD
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Bronchial Fistula, Lung Neoplasms, Lymph Nodes
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