Ultrasound‐controlled transthoracic true‐cut needle biopsy in pulmonary nodular amyloidosis

Abstract The current case report presents a 59‐year‐old man with imaging studies of the thorax showing nodular lesions in the lungs bilaterally. Based on radiographic and CT images, preliminary diagnoses for possible granulomatosis (tuberculosis) or pulmonary metastatic dissemination of a neoplastic...

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Main Authors: Teodora Z. Mihalova, Silviya S. Ivanova, Evgeni V. Mekov, Yordanka Т. Yamakova, Rosen E. Petkov
Format: Article
Language:English
Published: Wiley 2023-06-01
Series:Respirology Case Reports
Subjects:
Online Access:https://doi.org/10.1002/rcr2.1142
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author Teodora Z. Mihalova
Silviya S. Ivanova
Evgeni V. Mekov
Yordanka Т. Yamakova
Rosen E. Petkov
author_facet Teodora Z. Mihalova
Silviya S. Ivanova
Evgeni V. Mekov
Yordanka Т. Yamakova
Rosen E. Petkov
author_sort Teodora Z. Mihalova
collection DOAJ
description Abstract The current case report presents a 59‐year‐old man with imaging studies of the thorax showing nodular lesions in the lungs bilaterally. Based on radiographic and CT images, preliminary diagnoses for possible granulomatosis (tuberculosis) or pulmonary metastatic dissemination of a neoplastic process were made. An ultrasound‐controlled transthoracic true‐cut needle biopsy of a subpleural lesion was performed. Special staining with Congo red and examination with a polarizing light microscope for detection of amyloid confirmed the diagnosis of ‘pulmonary nodular amyloidosis’ by visualizing green birefringence.
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spelling doaj.art-22d84fb098c04333b9dc9a39aacc56542023-05-26T03:14:31ZengWileyRespirology Case Reports2051-33802023-06-01116n/an/a10.1002/rcr2.1142Ultrasound‐controlled transthoracic true‐cut needle biopsy in pulmonary nodular amyloidosisTeodora Z. Mihalova0Silviya S. Ivanova1Evgeni V. Mekov2Yordanka Т. Yamakova3Rosen E. Petkov4Clinic for Treatment of Nonspecific Lung Diseases and Tuberculosis UMHAT “St. Ivan Rilski”, Medical University—Sofia Sofia BulgariaDepartment of Pathomorphology UMHAT "St. Ivan Rilski", Medical University—Sofia Sofia BulgariaDepartment of Professional Diseases UMHAT “St. Ivan Rilski”, Medical University—Sofia Sofia BulgariaDepartment of Intensive Care, Clinic for Cardiology UMHAT “Alexandrovska”, Medical University—Sofia Sofia BulgariaClinic for Treatment of Nonspecific Lung Diseases and Tuberculosis UMHAT “St. Ivan Rilski”, Medical University—Sofia Sofia BulgariaAbstract The current case report presents a 59‐year‐old man with imaging studies of the thorax showing nodular lesions in the lungs bilaterally. Based on radiographic and CT images, preliminary diagnoses for possible granulomatosis (tuberculosis) or pulmonary metastatic dissemination of a neoplastic process were made. An ultrasound‐controlled transthoracic true‐cut needle biopsy of a subpleural lesion was performed. Special staining with Congo red and examination with a polarizing light microscope for detection of amyloid confirmed the diagnosis of ‘pulmonary nodular amyloidosis’ by visualizing green birefringence.https://doi.org/10.1002/rcr2.1142pulmonary amyloidosistrue‐cut biopsyultrasound‐controlled
spellingShingle Teodora Z. Mihalova
Silviya S. Ivanova
Evgeni V. Mekov
Yordanka Т. Yamakova
Rosen E. Petkov
Ultrasound‐controlled transthoracic true‐cut needle biopsy in pulmonary nodular amyloidosis
Respirology Case Reports
pulmonary amyloidosis
true‐cut biopsy
ultrasound‐controlled
title Ultrasound‐controlled transthoracic true‐cut needle biopsy in pulmonary nodular amyloidosis
title_full Ultrasound‐controlled transthoracic true‐cut needle biopsy in pulmonary nodular amyloidosis
title_fullStr Ultrasound‐controlled transthoracic true‐cut needle biopsy in pulmonary nodular amyloidosis
title_full_unstemmed Ultrasound‐controlled transthoracic true‐cut needle biopsy in pulmonary nodular amyloidosis
title_short Ultrasound‐controlled transthoracic true‐cut needle biopsy in pulmonary nodular amyloidosis
title_sort ultrasound controlled transthoracic true cut needle biopsy in pulmonary nodular amyloidosis
topic pulmonary amyloidosis
true‐cut biopsy
ultrasound‐controlled
url https://doi.org/10.1002/rcr2.1142
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