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Ann Thorac Surg 2002;73:1964-1965
© 2002 The Society of Thoracic Surgeons

Case report

Pulmonary infarct cytologically mimicking adenocarcinoma of the lung

Roger E. Lawther, MRCSa*, Alastair N.J. Graham, MDa, W. Glenn McCluggage, MRCPatha, James A. McGuigan, FRCS(Ed)a

a Northern Ireland Regional Thoracic Surgical Unit and Department of Pathology, Royal Victoria Hospital, Belfast, Northern Ireland

Accepted for publication November 1, 2001.

* Address reprint requests to Dr Lawther, Department of Surgery, Institute of Clinical Science, The Queen’s University of Belfast, Grosvenor Rd, Belfast, Northern Ireland
e-mail: roger.lawther{at}talk21.com

We describe a patient who underwent a right lower lobectomy for a lung lesion with a preoperative diagnosis of adenocarcinoma made on sputum cytology. Pathologic assessment of the resected specimen revealed a pulmonary infarct with no evidence of malignancy. All thoracic surgeons should be aware of this diagnostic pitfall. A positive sputum specimen should not always be regarded as definitive evidence of malignancy. Instead a full assessment of all available information should be made if unnecessary surgery is to be avoided.




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J. G. Parambil, C. D. Savci, H. D. Tazelaar, and J. H. Ryu
Causes and Presenting Features of Pulmonary Infarctions in 43 Cases Identified by Surgical Lung Biopsy
Chest, April 1, 2005; 127(4): 1178 - 1183.
[Abstract] [Full Text] [PDF]


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