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21st European Congress of Pathology
Istanbul, Turkey, September 08-13, 2007
http://www.ecp2007istanbul.org/
Slide Seminar 15, September 13th
Infectious diseases of lung
Chairpersons: R. Tringidou (Greece) and Ulrike Gruber-Mösenbacher (Austria) |
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Case 1
Presented by: Dr. M.Toetsch
Clinical History
A 50 year old man with anamnesis of 50 py presented for evaluation of a 7-month history of pleuritic pain in the left upper chest, fever and cough. Additionally weight loss was reported. Chest radiography showed a mass lesion of 7 cm, his laboratory work-up revealed an elevated WBC count and an ESR. Antinuclear antibody, fungal serologies and tuberculin skin test were normal or negative. Bronchoscopy and cytology were negative for malignancy. Biopsie revealed bno further information. Suspicion of a bronchial carcinoma was supported by PET-CT demonstrating a hotspot and by radiography showing increased Glucosis-metabolism. When progression of the lesion was recognized plus radial spreading, wedge resection by thoracotomy was performed.
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Diagnosis & discussion |
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Case 2
Presented by: Dr. I. Kern
Clinical History
A 73-year-old woman was admitted to the hospital because of dyspnea, nausea, and upper abdominal pain. She was complaining of rapidly losing body weight, skin rash and diarrhea, alternating with constipation. She was receiving corticosteroid due to the fourth stage chronic obstructive pulmonary disease. The laboratory findings revealed eosinophilia, anemia and a positive hematest in a stool specimen. Chest x-rays disclosed two round infiltrates.
The aggravation of dyspnea promoted cytological analysis of sputum Esophagogastroduodenoscopy with duodenal mucosa biopsy was performed
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Diagnosis & discussion |
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Case 3
Presented by: Dr. M. Espino-Duran
Clinical History
43-year-old female, 4 years of evolution with haemoptisis and orthopnea. No weight loss, no fever. HIV negative. Previous pulmonary tuberculosis treated. Radiographic findings: Opacity in superior lobe of left lung. Broncoscopy: Obstructive submucous mass in left apical posterior segment. The lesion was excised. Macroscopy: White-yellowish mass, well circumscribed, 2,5cm of diameter.
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Diagnosis & discussion |
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Case 5
Presented by: Dr. S. D. Sak
Clinical History
15- year-old male from a small village of Southern Eastern Turkey. Presenting with chest pain and cough. Air fluid level is observed on left lower lobe on CT
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Diagnosis & discussion |
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