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Cryptogenic organizing pneumonia masquerading as lung carcinoma: A case report and review of the literature. | LitMetric

AI Article Synopsis

  • Cryptogenic organizing pneumonia (COP) is a rare lung disease with an unknown cause, and this study highlights a unique case where the only symptom was coughing up blood (hemoptysis), mimicking lung cancer. !* -
  • A review of 119 cases from 1995 to 2015 found that common symptoms of COP included cough, fever, and difficulty breathing, with imaging showing various lung abnormalities like nodules and ground-glass opacities. !* -
  • Most cases were treated successfully with glucocorticoids, and while invasive surgeries were used, they should be minimized to reduce trauma; overall, COP generally has a good prognosis compared to lung cancer. !*

Article Abstract

Cryptogenic organizing pneumonia (COP) is a rare pulmonary disorder of unknown etiology. COP with hemoptysis as the primary presenting symptom has rarely been reported. The present study reported a case of COP that resembled lung carcinoma with hemoptysis as the only clinical symptom. The patient recovered well following thoracoscope surgery. A literature review of 119 COP cases between 1995 and 2015 was presented. Cough, fever and dyspnea were the most common clinical manifestations. The most common imaging manifestations were multiple or single consolidation, lung nodules, migratory sign, reversed halo sign, and multiple ground-glass opacity. A total of 3 cases exhibited COP accompanied by lung cancer. Glucocorticoids were effective for the majority of cases and invasive surgeries were implemented in most cases. The majority of cases recovered or relieved, and the prognosis of COP was relatively good. COP was easily confused with lung tumor and it is necessary to make differential diagnosis between COP and lung cancer. Invasive surgery should be avoided when possible to avoid or reduce patient trauma.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5769272PMC
http://dx.doi.org/10.3892/etm.2017.5393DOI Listing

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