A Case of Pulmonary Siderosis Mimicking Metastatic Lung Cancer.

Tuberculosis and Respiratory Diseases

article

Koo, So My¹  Park, Sung Woo¹  Park, Jong Sook¹  Lee, June Hyuk¹  Jang, An Soo¹  Kim, Do Jin¹  Park, Choon Sik¹  Paik, Sang Hyun²  Koh, Eun Suk³ 

[1] Departments of Internal Medicine, Soonchunhyang University College of Medicine;Departments of Radiology Soonchunhyang University College of Medicine;Departments of Pathology, Soonchunhyang University College of Medicine

关键词: Pulmonary hemosiderosis;    Lung Neoplasms;    Neoplasm Metastasis;    Multiple Pulmonary Nodules;    Aspergilloma;   

DOI  :  10.4046/trd.2011.70.1.58

学科分类：医学（综合）

来源: The Korean Academy of Tuberculosis and Respiratory Diseases

【 摘 要 】

Pulmonary siderosis is a pneumoconiosis caused by chronic iron inhalation. A diagnosis of pulmonary siderosis is based on a patient history of iron inhalation, on chest radiographic findings, and on accumulation of iron oxide in macrophages within the lung. A typical radiographic finding of pulmonary siderosis includes ill-defined micronodules that are diffusely distributed in the lung. We experienced a 52-year-woman with a 1.3x1.5-cm mass in the left upper lobe with multiple nodules in both lungs. Because the radiographic findings were atypical, we conducted a video-assisted thorascopic lung biopsy procedure to exclude the diagnosis of metastatic lung cancer. After confirming iron deposition in the lung tissue and knowing the patient's occupational history of welding iron, we concluded that this was a case of pulmonary siderosis.

【 授权许可】

CC BY-NC