Brazilian Journal of Pulmonology

ISSN (on-line): 1806-3756 | ISSN (printed): 1806-3713

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Recurrent pulmonary hyalinizing granuloma

Granuloma hialinizante de pulmão recidivante

Guilherme D'Andréa Saba Arruda, Paulo César Ribeiro de Carvalho, Mara Patrícia Guilhermino de Andrade, Maurício Campos Cusmanich, Gustavo Bandeira, Felipe Shigueo Passos Tozaki

J Bras Pneumol.2010;36(5):662-665

Abstract PDF PT PDF EN Portuguese Text

We report the case of a 61-year-old male patient who underwent surgical excision of a lung mass for anatomopathological study. The patient had previously presented with fever, dry cough, and chest pain, together with lung masses detected by chest X-ray, and had undergone thoracotomy for diagnostic investigation on two occasions (1976 and 1981), although a conclusive diagnosis had not been made. A CT scan of the chest revealed large masses with areas of calcification in both lung fields. The anatomopathological study was consistent with pulmonary hyalinizing granuloma. In the postoperative period, the patient experienced several episodes of bronchospasm, which was reversible with the use of symptomatic medication. At this writing, the patient was receiving maintenance therapy with prednisone (40 mg/day) and had shown clinical improvement.

 


Keywords: Glucocorticoids; Mass chest X-ray; Granuloma.

 


 

 


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