{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:40:17Z","timestamp":1756363217544,"version":"3.44.0"},"reference-count":4,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,4,7]]},"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:p>A 64-year-old manpresented with non-productive cough and dyspnoea and was evaluated and diagnosed to have a left lung mass on CT of the chest. A transthoracic needle biopsy under CT guidance revealed necrotic tissue on histopathology and was inconclusive. Positron emission tomography scan revealed a fluoro-deoxyglucose-avid left lung mass with a left upper lobe luminal cut-off. A flexible video bronchoscopy was performed and revealed left upper lobe complete obstruction with an endoluminal plug which was removed in piecemeal fashion, and deeper biopsies were taken from the lingula. Histopathology revealed underlying adenocarcinoma colonised by aspergillosis. This case serves to remind us of the possibility of missing underlying malignancy when taking superficial biopsies of clearly visualised endobronchial necrotic tissue and the need for debulking it to a reasonable extent and to take deeper biopsies in order to not miss a possible underlying malignancy.<\/jats:p>","DOI":"10.1136\/bcr-2018-227157","type":"journal-article","created":{"date-parts":[[2019,5,8]],"date-time":"2019-05-08T15:04:21Z","timestamp":1557327861000},"page":"e227157","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Sixty-four-year-old man with non-productive cough and lung mass"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6109-0044","authenticated-orcid":false,"given":"Irfan Ismail","family":"Ayub","sequence":"first","affiliation":[{"name":"Pulmonary Medicine, Sri Ramachandra University Medical College, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thanka","family":"Johnson","sequence":"additional","affiliation":[{"name":"Pathology, Sri Ramachandra University Medical College, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,5,8]]},"reference":[{"key":"2025082723134720000_12.5.e227157.1","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/j.anndiagpath.2011.06.005","article-title":"Two cases of endobronchial carcinoid masked by superimposed aspergillosis: a review of the literature of primary lung cancers associated with Aspergillus","volume":"17","author":"Nilsson","year":"2013","journal-title":"Ann Diagn Pathol"},{"key":"2025082723134720000_12.5.e227157.2","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/j.resinv.2015.12.005","article-title":"Two cases of endobronchial aspergilloma complicated with primary and metastatic lung cancer: A case report and literature review","volume":"54","author":"Hirano","year":"2016","journal-title":"Respir Investig"},{"key":"2025082723134720000_12.5.e227157.3","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1097\/LBR.0000000000000463","article-title":"Lung Parenchymal and Endobronchial Metastases From Ovarian Carcinoma","volume":"25","author":"Ayub","year":"2018","journal-title":"J Bronchology Interv Pulmonol"},{"key":"2025082723134720000_12.5.e227157.4","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1007\/s00432-014-1602-x","article-title":"Transbronchial needle aspiration cytology (TBNA) in endobronchial lesions: a valuable technique during bronchoscopy in diagnosing lung cancer and it will decrease repeat bronchoscopy","volume":"140","author":"Shital","year":"2014","journal-title":"J Cancer Res Clin Oncol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-227157","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:13:55Z","timestamp":1756361635000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-227157"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5]]},"references-count":4,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2019,5,8]]},"published-print":{"date-parts":[[2019,5]]}},"alternative-id":["10.1136\/bcr-2018-227157"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-227157","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,5]]}}}