Lung cancer with multiple lung abscesses: an unusual presentation

Abhishek Agarwal, Sakshi Batra, Anand Verma, A. K. Vaish


Lung abscess is caused due to localized suppuration in the lung usually caused by microbial infection of the lung. Here we are describing an interesting case of multiple lung abscess associated with non-small cell lung cancer. The diagnosis was suspected on CT scan thorax and was confirmed by fibreoptic bronchoscopy and endobronchial biopsy. Hence, lung cancer should be suspected in any case of lung abscess when it is showing no signs of resolution even after aggressive conservative management with broad spectrum antibiotics.


Fibreoptic bronchoscopy, Lung abscess, Lung cancer

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Strang C, Simpson JA. Carcinomatous abscess of the lung. Thorax. 1953;8:11-28.

Hendriks LEL, Hochstenbag MMH, Lalji UC, Dingemans AMC. A pulmonary abscess, beware of lung cancer. Respiratory Medicine CME (Elsevier). 2011;4:157-9.

Bishnu S, Samui S, Bandyopadhyay D, Banerjee S, Manna S, Mondal P. Lung carcinoma with superior vena caval obstruction masquerading as lung abscess. JIACM. 2012;13(2):149-51.

Furuya K, Yasumori K, Takeo S, Sakino I, Uesugi N, Momosaki S, et al. Lung CT: Part 1, Mimickers of Lung cancer-Spectrum of CT Findings with Pathologic Correlation. Am J Roentgenol. 2012;199(4):W454-63.

Sosenko A, Glassroth J. Fiberoptic Bronchoscopy in the Evaluation of Lung Abscesses. CHEST. 1985;87(4):489-494.

Akinosoglou KS, Karkoulias K, Marangos M. Infectious complications in patients with lung cancer. Eur Rev Med Pharmacol Sci. 2013;17(1):8-18.

Taira N, Kawabata T, Gabe A, Ichi T, Kushi K, Yohena T, et al. Lung cancer mimicking lung abscess formation on CT images. Am J Case Rep. 2014;15:243-5.