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Case Report
Korean J Med. 2014;87(6):733-737. Published online December 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.87.6.733
호산구성 염증을 동반한 기관지 협착이 폐암으로 오인된 증례 1예
홍원정1, 박치영1, 고은정1, 조상호2, 정소영1, 정혜철1
1차의과학대학교 내과학교실
2차의과학대학교 병리학교실
Mass-forming Eosinophilic Infiltration Involving the Central Airway: A Case Report of Endobronchial Involvement of Eosinophilic Inflammation Mimicking Bronchogenic Malignancy
Won-Jung Hong1, Chi Young Park1, Eun-Jung Ko1, Sang-Ho Cho2, So Young Chong1, Hye-Cheol Jeong1
1Department of Internal Medicine, CHA Bundang Medical Center, College of Medicine, CHA University, Seongnam, Korea
2Department of Pathology, CHA Bundang Medical Center, College of Medicine, CHA University, Seongnam, Korea
Corresponding author: Hye-Cheol Jeong ,Tel: +82-31-780-6142, Fax: +82-31-780-2992, Email: jhcmd@hanmail.net
Received: May 27, 2014; Revised: June 16, 2014   Accepted: June 27, 2014.


Abstract
We report a very unusual case of endobronchial involvement of eosinophilic inflammation. A 58-year-old woman visited our clinic complaining of cough. A chest computed tomography scan showed a poorly enhancing mass compressing both main bronchi in the subcarinal area. Bronchoscopy also showed stenosis of the two main bronchi with irregular mucosal thickening. A bronchoscopic endobronchial mucosal biopsy revealed eosinophilic inflammation without evidence of malignancy. The subcarinal mass disappeared after systemic steroid treatment. This is the first report of mass-forming eosinophilic infiltration involving the central airway mimicking primary lung cancer.

Keywords :Eosinophils, Subcarinal mass, Bronchial stenosis
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