Open AccessEmergency surgery for lung cancer with abscess formation after transbronchial biopsy
Author(s) -
Takanashi Yusuke,
Miyashita Koichi,
Tajima Shogo,
Hayakawa Takamitsu,
Neyatani Hiroshi,
Funai Kazuhito
Publication year - 2017
Publication title -
respirology case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.304
H-Index - 9
ISSN - 2051-3380
DOI - 10.1002/rcr2.218
Subject(s) - medicine , abscess , lung cancer , surgery , lung abscess , biopsy , complication , diabetes mellitus , lung , radiology , endocrinology
Abscess formation in lung cancer after transbronchial biopsy ( TBB ) is a rare complication with no standard consensus on a coping strategy or prophylaxis. We describe an instructive case of lung cancer which developed into an abscess after TBB . An 80‐year‐old man with poorly controlled diabetes mellitus underwent TBB for diagnosing a mass lesion in the left upper lobe. The TBB specimen confirmed a diagnosis of lung cancer, and he was scheduled for radical surgery. However, the tumour was revealed to have progressed into an enlarged abscess 24 days after TBB . Prompt use of meropenem failed to relieve the infection, hence we performed emergency left upper lobectomy. Poorly controlled diabetes mellitus was considered to be a risk for the formation of a tumour abscess after TBB . It was difficult to control the infection with conservative treatment using antibiotics; emergency surgical resection was considered to be the safest strategy for recovery.