Solitary Pulmonary Nodule Due to Mycobacterium kansasii
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概要
- 論文の詳細を見る
A 46-year-old man with no past history of underlying disease was admitted to our hospital for examination of abnormal chest shadow on chest radiograph. He had no respiratory symptoms on admission. Chest radiograph showed a solitary nodule (35×20 mm) in the left upper lung field. On chest CT, this nodule in the left upper lobe (S1+2) did not demonstrate calcification, the margin was clear but irregular, and there was pleural indentation. The solitary nodule was strongly positive on PET/CT. Therefore, we suspected primary lung cancer. Because we could not establish the diagnosis by bronchoscopic examination, video-assisted thoracoscopic surgery (VATS) was performed. Histological diagnosis of the solitary nodule demonstrated epitheloid granuloma with caseous necrosis. Smear test of the resected tissue was positive for acid-fast bacilli and culture was positive for mycobacteria, which was identified as Mycobacterium kansasii. There are a few case reports of solitary nodule due to M. kansasii.
著者
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Oka Mikio
Division Of Respiratory Diseases Department Of Medicine Kawasaki Medical School
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Nakata Masao
Department Of General Thoracic Surgery Kawasaki Medical School
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Abe Masaaki
Division Of Chemistry Graduate School Of Science Hokkaido University
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Miyashita Naoyuki
Division Of Respiratory Diseases Department Of Internal Medicine
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Mouri Keiji
Division Of Respiratory Diseases Department Of Medicine Kawasaki Medical School
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Obase Yasushi
Division Of Respiratory Diseases Department Of Medicine Kawasaki Medical School
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Kobashi Yoshihiro
Division Of Respiratory Disease Department Of Medicine Kawasaki Medical School
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Abe Masaaki
Division of Respiratory Disease, Department of Medicine, Kawasaki Medical School, Japan
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Mouri Keiji
Division of Respiratory Disease, Department of Medicine, Kawasaki Medical School, Japan
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Miyashita Naoyuki
Division of Respiratory Disease, Department of Medicine, Kawasaki Medical School, Japan
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Obase Yasushi
Division of Respiratory Disease, Department of Medicine, Kawasaki Medical School, Japan
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