|
|
|
Bilateral pulmonary nodules in an adult patient
Á. Êopanakis, C. Mistakeli, F. P. Kokkinis, P. Karkaletsis, S. Legaki, E.
Kastanakis, N. Karagianidis, M. Patentalakis
SUMMARY: A case of a 58 years old male, ex-smoker since 10 years (30
pack/years), who was admitted to our hospital due to bilateral pulmonary nodules
is presented. Abdominal CT was normal and bronchoscopy showed endobronchial
alterations of mild inflammation. A nodule was removed by open lung biopsy.
Histological diagnosis excluded cancer and confirmed Cryptogenic Organizing
Pneumonia-Bronchiolitis Obliterans with Organizing Pneumonia (COP-BOOP). This
disorder is characterized by granulomatous tissue that obstructs small bronchioles
and organizes pneumonia. Open lung biopsy or VATS is required to establish the
diagnosis with certainty. In BOOP, bilateral pulmonary nodules as the only manifestation
in chest radiograph are rare. Pneumon 2004, 17(2):207-212.
Key words: Cryptogenic Organizing Pneumonia or Bronchiolitis Obliterans
with Organizing Pneumonia, bilateral pulmonary nodules, open lung biopsy.
 |