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KMID : 0882420040670050540
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Korean Journal of Medicine
2004 Volume.67 No. 5 p.540 ~ p.544
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A case of pulmonary cryptococcosis mimicking pulmonary metastasis in a patient with cutaneous squamous cell carcinoma
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Lee Jong-Sin
Kong Yun-Ho
Lee Seung-Hwan
Sohn Wee-Sik
Park Sun-Hoo
Kim Cheol-Hyeon
Lee Jae-Cheol
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Abstract
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Multiple pulmonary nodules were found in a 71-year-old Korean female patient with cutaneous squamous cell carcinoma during diagnostic work-up. A presumptive diagnosis of metastases was made and percutaneous fine needle aspiration cytology was undertaken. Finally, pathological examination of the tissue revealed granulomatous inflammation with cryptococcal infection. The patient received 6 months of antifungal treatment with fluconazole and her chest radiographic findings were improved after the treatment. She is now under clinical follow-up. Recognition that pulmonary cryptococcal infection can mimic metastasis is important in reaching the correct diagnosis and in determining the correct treatment.
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KEYWORD
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Cryptococcus, Squamous cell carcinoma
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