Bronchial cast hiding a lung cancerReport as inadecuate

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Multidisciplinary Respiratory Medicine

, 7:43

First Online: 13 November 2012Received: 29 August 2012Accepted: 19 September 2012


A 70-year-old man was admitted for severe hypoxia, haemoptysis and cough. Chest-X-ray and CT-scan indicated a right-lower-lobe collapse. Bronchoscopy showed its occlusion by whitish dense mucus. Aspiration revealed a Bronchial Cast BC and a stenotic and inflamed orifice of the right-lower-lobe-bronchus which was biopsied.

Histopathologic examination of BC showed fibrin with lymphocytes and neutrophils, and, surprisingly, also the presence of lung cancer. Although the association between BC and benign, myxoid-soft-tissue, tracheobronchial tumors has been described, the association with lung cancer has not previously been reported, and it remains unclear whether it is causal or casual.

KeywordsAirway obstruction Bronchial cast Broncoscopy Haemoptysis Lung cancer NSCLC Electronic supplementary materialThe online version of this article doi:10.1186-2049-6958-7-43 contains supplementary material, which is available to authorized users.

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Author: Marcello Migliore - Nicola Ciancio - Riccardo Giuliano - Giuseppe Di Maria



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