Abstract

Bronchocentric granulomatosis is not a specific clinical syndrome, but a rare pathologic condition diagnosed by morphologic criteria. In our case, the diagnosis was also made by open lung biopsy. Our case is a 40-year-old male patient, with a smoking history of 60 pack-years and he has been breeding pigeons for 15 years. He presented to our clinic with complaints of productive cough and right side pain. PA chest radiograph and chest CT scan revealed a mass with a diameter of 3 cm in the upper lobe of the right lung. A neoplastic lesion was suspected. His bronchoscopy findings were not specific and a specific diagnosis could not be made by transthoracic fine needle aspiration biopsy. Bronchoscopic specimens, sputum and their cultures were negative for tuberculosis. An open lung biopsy was performed for diagnosis and biopsy revealed a foci of necrotizing granulomatous inflammation with central abcess formation. There were no signs of a fungal infection. We decided to present this bronchocentric granulomatosis case, as it is a rare clinical condition and we think that it should be taken into consideration in the differential diagnosis of mass lesions.