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VOLUME 66 , ISSUE 4 ( October-December, 2024 ) > List of Articles

CASE REPORT

An Endobronchial Aspergilloma Concealing Metastatic Renal Cell Carcinoma of the Bronchus: A Case Report

Deependra K Rai, Niraj K Singh

Keywords : Case report, Cryobiopsy, Endobronchial aspergilloma, Metastatic endobronchial renal carcinoma

Citation Information : Rai DK, Singh NK. An Endobronchial Aspergilloma Concealing Metastatic Renal Cell Carcinoma of the Bronchus: A Case Report. Indian J Chest Dis Allied Sci 2024; 66 (4):137-139.

DOI: 10.5005/jp-journals-11007-0123

License: CC BY-NC 4.0

Published Online: 13-02-2025

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Aspergillus is a saprophytic fungus that causes various respiratory illnesses in humans, depending on their immune status. It often manifests as saprophytic growth in pre-existing lung lesions termed aspergilloma or as allergic diseases in atopic individuals. It may also lead to persistent chronic inflammation known as chronic pulmonary aspergillosis in individuals with pre-existing pulmonary diseases or to angioinvasive infections in immunocompromised patients. Endobronchial aspergilloma (EBA) is an uncommon clinical entity characterized by the noninvasive colonization of Aspergillus in the bronchus, typically occurring in cases of pre-existing endobronchial lesions or malignancies, as reported in the literature. Here, we present a case of a middle-aged male who was initially diagnosed with EBA through endobronchial cryobiopsy. However, further cryobiopsy of the deeper area and cryoextraction of the entire tissue growth revealed the presence of underlying metastatic endobronchial renal carcinoma. Therefore, whenever EBA is identified, we should consider the possibility of underlying or coexisting malignancies.

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  1. Kanj A, Abdallah N, Soubani AO. The spectrum of pulmonary aspergillosis. Respir Med 2018;141:121–131. DOI: 10.1016/j.rmed.2018.06.029.
  2. Huang D, Li B, Chu H, et al. Endobronchial aspergilloma: A case report and literature review. Exp Ther Med 2017;14(1):547–554. DOI: 10.3892/etm.2017.4540.
  3. Soubani AO, Chandrasekar PH. The clinical spectrum of pulmonary aspergillosis. Chest 2002;121(6):1988–1999. DOI: 10.1378/chest.121.6.1988.
  4. Ma JE, Yun EY, Kim YE, et al. Endobronchial aspergilloma: Report of 10 cases and literature review. Yonsei Med J 2011;52(5):787–792. DOI: 10.3349/ymj.2011.52.5.787.
  5. Nilsson JR, Restrepo CS, Jagirdar J. Two cases of endobronchial carcinoid masked by superimposed aspergillosis: A review of the literature of primary lung cancers associated with Aspergillus. Ann Diagn Pathol 2013;17(1):131–136. DOI: 10.1016/j.anndiagpath.2011.06.005.
  6. Ngu S, Narula N, Abureesh M, et al. Endobronchial aspergilloma-a comprehensive literature review with focus on diagnosis and treatment modalities. Eur J Clin Microbiol Infect Dis 2020;39(4): 601–605. DOI: 10.1007/s10096-019-03726-5.
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