Pulmonary solid tumor with coexisting pulmonary aspergillosis: case reports and literature review

Clin Respir J. 2017 Jan;11(1):3-12. doi: 10.1111/crj.12294. Epub 2015 Apr 28.

Abstract

Background and aims: The association of noncavitary untreated lung cancer with coexisting pulmonary Aspergillosis in immunocompetent patients is an extremely rare occurrence. The present paper aims to summarize the clinical data, and gives an overview of the current knowledge on the etiology, diagnosis and treatment of this condition.

Methods: We report four cases and review seven cases in the literature.

Results: The four cases describe pulmonary solid tumor with coexisting pulmonary Aspergillosis condition. All cases underwent complicated procession for the terminal diagnosis.

Conclusion: Clinicians should be alert to underlying malignant disease if airway Aspergillus infection is suspicious in a patient without strong risk factors for invasive fungal disease. On the other hand, when lung cancer is coexisting with airway necrotizing Aspergillosis, clinicians should properly manage these two diseases simultaneously.

Keywords: colonization; invasive infection; lung tumor; pulmonary aspergillosis.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Disease Management
  • Female
  • Humans
  • Lung Neoplasms / diagnostic imaging
  • Lung Neoplasms / microbiology*
  • Lung Neoplasms / pathology
  • Male
  • Middle Aged
  • Neoplasm Metastasis
  • Positron Emission Tomography Computed Tomography / methods
  • Pulmonary Aspergillosis / diagnostic imaging
  • Pulmonary Aspergillosis / microbiology
  • Pulmonary Aspergillosis / pathology*