A Case of Squamous Cell Carcinomatous Lung Abscess with Multiple Metastatic Abscesses.

Lim, Ju Eun; Kim, Eun Young; Jang, Ji Eun; Son, Ji Young; Jung, Ji Ye; Park, Byung Hoon; Lee, Kyung Jong; Yoon, Yoe Wun; Byun, Min Kwang; Lee, Sa Rah; Kang, Young Ae; Moon, Jin Wook; Park, Moo Suk; Kim, Young Sam; Jang, Joon; Park, Young Nyun; Kim, Se Kyu

doi:2009.66.5.390

Tuberc Respir Dis > Volume 66(5); 2009 > Article

Case Report

Tuberculosis and Respiratory Diseases 2009;66(5):390-395.
DOI: https://doi.org/10.4046/trd.2009.66.5.390 Published online May 1, 2009.

A Case of Squamous Cell Carcinomatous Lung Abscess with Multiple Metastatic Abscesses.

Ju Eun Lim, Eun Young Kim, Ji Eun Jang, Ji Young Son, Ji Ye Jung, Byung Hoon Park, Kyung Jong Lee, Yoe Wun Yoon, Min Kwang Byun, Sa Rah Lee, Young Ae Kang, Jin Wook Moon, Moo Suk Park, Young Sam Kim, Joon Jang, Young Nyun Park, Se Kyu Kim

¹Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. sekyukim@yuhs.ac
²The Institute of Chest Diseases, Yonsei University College of Medicine, Seoul, Korea.
³Department of Pathology, Yonsei University College of Medicine, Seoul, Korea.

Abstract

Among the bronchogenic carcinomas, especially squamous cell carcinoma and large cell carcinoma frequently present with cavitation, which may result from tumor necrosis. Cavitary lesions of the tumor are occasionally associated with infection and misdiagnosed as benign lung abscess owing to the partial responsiveness to antibiotics. It is very difficult to distinguish the carcinomatous abscess from the benign lung abscess, because of their similar clinical and radiologic features. Delay in diagnosis of underlying lung cancer may result in poor outcome. Therefore, clinicians should remember that the patients with highly suspicious carcinoma of the lung should undergo further precise examinations to find out malignant cells.

Key Words: Carcinomatous abscess, Lung abscess, Liver abscess, Squamous cell carcinoma