Document Detail

Aetiology of unresolved pneumonia.
MedLine Citation:
PMID:  684666     Owner:  NLM     Status:  MEDLINE    
Preoperative histological or cytological confirmation of a diagnosis of bronchogenic carcinoma is not always possible, so occasionally non-neoplastic lesions are resected. Of these lesions a significant number are described by pathologists as 'unresolved pneumonia'. We studied the case notes and histopathology of 30 patients from whom lung had been resected and which had been classified as pneumonia. Other non-neoplastic lesions, such as pulmonary infarction, bronchiectasis, and tuberculosis, were excluded. All had a preoperative diagnosis of probable bronchial carcinoma. On review very few appeared to be the consequence of an infective, pneumonic episode. In 11, foreign material was identified, including one typical example of a paraffinoma. Aspiration of foreign material may lead to a localised lesion which simulates carcinoma of the bronchus both clinically and radiographically.
S R Bulmer; D Lamb; R J McCormack; P R Walbaum
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Thorax     Volume:  33     ISSN:  0040-6376     ISO Abbreviation:  Thorax     Publication Date:  1978 Jun 
Date Detail:
Created Date:  1978-10-18     Completed Date:  1978-10-18     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0417353     Medline TA:  Thorax     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  307-14     Citation Subset:  IM    
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MeSH Terms
Bronchial Neoplasms / diagnosis
Diagnosis, Differential
Pneumonia / diagnosis,  etiology*
Pneumonia, Aspiration / pathology

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