Open AccessFocal organizing pneumonia simulating lung malignancy: treated with prednisolone
Author(s) -
Kilaru Hemanth,
Jalna Mohd Vaseem,
Kilaru Satish Chandra,
Nandury Eshwar Chandra,
Khan Mohammed Zia Ur Rehman
Publication year - 2019
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/rcr2.469
Subject(s) - medicine , prednisolone , malignancy , cryptogenic organizing pneumonia , radiology , lung , pneumonia , biopsy , incidence (geometry) , surgery , radiography , physics , optics
Focal cryptogenic organizing pneumonia (FOP) is a localized form of cryptogenic organizing pneumonia (COP). It is an uncommon clinicopathological entity associated with non‐specific symptoms and radiographic findings simulating lung malignancy. Incidence of idiopathic FOP is not known and only reported as case series. Its treatment usually involved surgical resection. Here, we report a case of a 62‐year‐old female presenting with a history of dyspnoea, persistent paroxysms of dry cough, and low‐grade fever of three weeks duration with a solitary consolidation on imaging. Computed tomography‐guided biopsy showed an organizing pneumonia pattern. A therapeutic trial with prednisolone resulted in resolution without the need for surgical resection, without recurrence after follow‐up for 12 months.