ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Bronchocentric granulomatosis with multifocal lung involvement: A case report
Ali Kılıçgün1, Bahar Kurt2, Murat Bölük2, Fahri Yılmaz3
1Abant İzzet Baysal Üniversitesi Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, Bolu, Türkiye
2Abant İzzet Baysal Üniversitesi Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Bolu, Türkiye
3Abant İzzet Baysal Üniversitesi Tıp Fakültesi, Patoloji Anabilim Dalı, Bolu, Türkiye
DOI : 10.5606/tgkdc.dergisi.2012.128
Bronchocentric granulomatosis is a rare disease which shows no correlation between the clinical findings and radiological imaging. It is seen often in adults and is generally diagnosed by accident; however, a definitive diagnosis can be made with a lung biopsy. A necrotizing granulomatous reaction of the bronchi and bronchioles is generally observed. In this article, we present a 37-year-old male who was admitted for a detailed examination after a suspicious image was discovered on the chest X-ray. Many peripheral nodules were observed on computed tomography (CT) of the lung. Respiratory function tests revealed a mild obstruction, and a fiberoptic bronchoscopy showed no lesion. A nodule excision from the middle lobe in open lung biopsy was performed, and the result was found to be consistent with bronchocentric granulomatosis. We present this case due to its rare nature and believe it is a condition which should be investigated in terms of the etiology of multiple nodules.
Keywords : Aspergillosis; granulomatous; open lung biopsy
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