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Seo Woo Kim, M.D.1, Hyun Kyung Kim, M.D.1, Sung Joung Jeun, M.D.1, Hye Sung Park, M.D.1, Jung Hyun Jang, M.D.1, Jin Hwa Lee, M.D.1
, Yon Ju Ryu, M.D.1, Sung Shin Sim, M.D.2, Eun Mi Chun, M.D.1
, Yon Ju Ryu, M.D.1, Sung Shin Sim, M.D.2, Eun Mi Chun, M.D.1
Abstract
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.
Figures and Tables
Figure 1
Chest X-ray on admission showed multiple consolidations in right upper lung zone and left lingular lobe.
Figure 2
Chest CT scan revealed subcarinal lymph node enlargement with air bubbles (possible node-bronchial fistula between airway and subcarinal lymph node). Multiple necrotic lymph nodes enlargement were seen in mediastium, both hilar, retrosternal and lower cervical area.
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