Vuillermoz S, Bayle J Y, Perol M, Arnouk H, Guerin J C
Service de Pneumologie, Hôpital de la Croix-Rousse, Lyon.
Rev Mal Respir. 1992;9(6):641-3.
We report a case of a patient of forty two years who was admitted with a chronic cough and had a left hilar "tumour". Scanning showed a hilar opacity with an air bronchogram. Fibreoptic bronchoscopy did not succeed in achieving a precise diagnosis, the biopsies showed no sign of malignancy. An open lung biopsy was necessary to establish the diagnosis of pulmonary mediastinal sarcoidosis with a pseudo-tumoral presentation and localised unilateral disease involving a segmental bronchus and the left upper lobe. There was a rapidly favourable outcome after treatment with steroids.
