A case of large cell carcinoma of the lung arising from the inner surface of a pulmonary bulla and complicated by hematoma

F. Sakamaki, M. Nakano, T. Urano, M. Mori, K. Yamaguchi, M. Kanazawa, Y. Izumi, K. Kikuchi, K. Kobayashi, S. Kuramochi

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4 Citations (Scopus)

Abstract

A 64-year-old man with a history of smoking was admitted to our hospital, because he was noted to have a solitary mass lesion at the apex of the right lung on a chest roentgenogram. Eight months before admission, he had come to our hospital because of hemoptysis. At that time, however, no abnormal shadow was seen on his chest roentgenogram, except for multiple bullae at both apexes. Based on chest CT findings on admission, the tumor appeared to be a hematoma growing inside the bulla. The resected tumor was found to contain a large amount of coagulated blood in the bula. Histopathological examination of the bulla revealed a proliferation of large atypical cells from the inner surface of the bulla toward the inner space. Thus, the diagnosis was large cell carcinoma within the wall of the pulmonary bulla, the inside of which was filled with hematoma. We believe that the hematoma in the bulla allowed us to make an early diagnosis, and thus to succeed in curing the patient.

Original languageEnglish
Pages (from-to)906-910
Number of pages5
JournalJapanese Journal of Thoracic Diseases
Volume33
Issue number8
Publication statusPublished - 1995 Jan 1

Keywords

  • Hematoma in bulla
  • Large cell carcinoma
  • Lung cancer
  • Pulmonary bulla

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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