Among the bronchogenic carcinomas, especially squamous cell carcinoma and large cell carcinoma frequently present with cavitation, which may result from tumor necrosis. Cavitary lesions of the tumor are occasionally associated with infection and misdiagnosed as benign lung abscess owing to the partial responsiveness to antibiotics. It is very difficult to distinguish the carcinomatous abscess from the benign lung abscess, because of their similar clinical and radiologic features. Delay in diagnosis of underlying lung cancer may result in poor outcome. Therefore, clinicians should remember that the patients with highly suspicious carcinoma of the lung should undergo further precise examinations to find out malignant cells.
Fishman AP. Chapter 112. Approach to the patient with pulmonary infection. In: Fishman JA, editor. Fishman's pulmonary diseases and disorders. 4th ed. New York: McGraw-Hill Medical; 2008. p. 1988-89.
Bernhard WF, Malcolm JA, Wylie RH. The carcinomatous abscess: a clinical paradox. N Engl J Med 1962;266:914-9.
Stewart CE, Winer-Muram HT, Jennings SG, Dowdeswell I, Meyer CA. Necrotic mass-like upper lobe opacity. Chest 2003;123:277-9.
Liao WY, Liaw YS, Wang HC, Chen KY, Luh KT, Yang PC. Bacteriology of infected cavitating lung tumor. Am J Respir Crit Care Med 2000;161:1750-3.
Sosenko A, Glassroth J. Fiberoptic bronchoscopy in the evaluation of lung abscesses. Chest 1985;87:489-94.
Kurihara Y, Nakajima Y, Niimi H, Arakawa H, Ishikawa T, Kojima K, et al. Cavitary lung cancer producing granulocyte colony-stimulating factor: a mimicker of lung abscess. J Comput Assist Tomogr 1998;22:425-6.
Schiza S, Siafakas NM. Clinical presentation and management of empyema, lung abscess and pleural effusion. Curr Opin Pulm Med 2006;12:205-11.
Wallace RJ Jr, Cohen A, Awe RJ, Greenberg D, Hadlock F, Park SK. Carcinomatous lung abscess: diagnosis by bronchoscopy and cytopathology. JAMA 1979;242:521-2.
Sokhandon F, Sparschu RA, Furlong JW. Best cases from the AFIP: bronchogenic squamous cell carcinoma. Radiographics 2003;23:1639-43.
Mathew BS, Jayasree K, Gangadharan VP, Nair MK, Rajan B. Renal metastasis from squamous cell carcinoma of the lung. Australas Radiol 1998;42:159-60.
Akduman B, Altun R, Yesilli C, Yenidunya S, Ozdemir H, Mungan NA. Symptomatic renal metastasis 5 years after the management of a squamous cell carcinoma of the lung. Int J Urol 2004;11:421-3.