Cavitary lung cancer with a fungus ball-like shadow

Abstract

A 69-years old man with a smoking history of 50 pack-years had a thick walled cavity with an intracavity mass in the upper lobe of the left lung in the CT scan. There was no evidence of the malignancy in the preoperative bronchoscopy. On the basis of these findings, pulmonary aspergilloma was suspected and left upper lobectomy was performed. Microscopic examination revealed squamous cell carcinoma in the cavity wall. No evidence of fungal involvement was identified.