Tuberc Respir Dis > Volume 68(4); 2010 > Article
Tuberculosis and Respiratory Diseases 2010;68(4):231-235.
DOI:    Published online April 1, 2010.
A Case of Node-bronchial Fistula by Non-small Cell Lung Cancer.
Seo Woo Kim, Hyun Kyung Kim, Sung Joung Jeun, Hye Sung Park, Jung Hyun Jang, Jin Hwa Lee, Yon Ju Ryu, Sung Shin Sim, Eun Mi Chun
1Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
2Department of Radiology, Ewha Womans University School of Medicine, Seoul, Korea.
Lymphadenopathy in the thoracic cavity is frequently caused by inflammatory diseases. In very rare cases, the node-bronchial fistula has been reported to be the cause of complications of pulmonary tuberculosis. A male patient with necrotizing pneumonia and mediastinal lymph node enlargements identified by chest computed tomography was also found to have a node-bronchial fistula caused by lung cancer. The patient was treated for tuberculosis with pneumonia for one week before a definitive diagnosis was made. A further investigation revealed him to have non-small cell lung cancer (NSCLC, adenocarcinoma) and multiple mediastinal lymphadenopathies accompanied with the node-bronchial fistula. We report this specific case that had been previously treated for tuberculosis but was later revealed to be NSCLC accompanied with a node-bronchial fistula.
Key Words: Bronchial Fistula, Lung Neoplasms, Lymph Nodes

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