[Pulmonary nodular amyloidosis mimicking multiple pulmonary metastases of carcinoma of the corpus uteri].

INTRODUCTION

Pulmonary nodular amyloidosis (PNA) is a phenomenon that is rarely diagnosed anywhere in the world.

METHODS

We report a case of a 63-year-old woman who smoked in whom a chest X-ray examination 5 years after diagnosis and radical treatment of a highly differentiated carcinoma of the corpus uteri showed multiple lung metastasis. To elucidate these findings by bronchoscopy and thoracoscopy we took a specimen from the right pleura and from one of the suspicious nodules, which were up to 3 cm in diameter; we also obtained some of the bronchial secretion.

RESULTS

The nodules were histopathologically diagnosed as PNA.

CONCLUSION

Even if it is rare, PNA also belongs in the differential diagnosis of metastatic cancers. For us evidence of Pseudomonas fluorescens in the sputum is a reason for discussing a chronic, clinical unobtrusive local inflammation with hyperactivity of the B-cells as the hypothetical etiology of the amyloidomas.