Pulmonary mycobacterial spindle cell pseudotumor in a lung transplant patient: progression without therapy and response to therapy

Mycobacterial spindle cell pseudotumor (MSP) represents a rare, non‐malignant, mass‐forming reaction to various mycobacterial infections, typically occurring in immunocompromised patients. It is characterized by the proliferation of spindle‐shaped fibrohistiocytic cells without the formation of epit...

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Veröffentlicht in:Transplant infectious disease 2015-06, Vol.17 (3), p.424-428
Hauptverfasser: Franco, M., Amoroso, A., Burke, A.P., Britt, E.J., Reed, R.M.
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container_end_page 428
container_issue 3
container_start_page 424
container_title Transplant infectious disease
container_volume 17
creator Franco, M.
Amoroso, A.
Burke, A.P.
Britt, E.J.
Reed, R.M.
description Mycobacterial spindle cell pseudotumor (MSP) represents a rare, non‐malignant, mass‐forming reaction to various mycobacterial infections, typically occurring in immunocompromised patients. It is characterized by the proliferation of spindle‐shaped fibrohistiocytic cells without the formation of epithelioid granulomas. Without staining for acid‐fast bacilli, histological distinction from other spindle cell lesions, including malignancy, can be difficult. Most of the MSP cases reported in the literature have involved lymph nodes, skin, spleen, or bone marrow, but rarely involve the lung. MSP predominately occurs in patients who are immunosuppressed. We present a patient with MSP of the transplanted lung caused by non‐tuberculous mycobacteria, in whom both the natural course of the untreated pseudotumor as well as the response to antimycobacterial treatments were observed.
doi_str_mv 10.1111/tid.12390
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subjects Aged
Anti-Bacterial Agents - administration & dosage
Azithromycin - administration & dosage
Bone marrow
Disease Progression
Ethambutol - administration & dosage
Female
Fluoroquinolones - administration & dosage
Humans
Immunocompromised Host
Lung - diagnostic imaging
Lung - surgery
lung transplant
Lung Transplantation
Lymph nodes
Lymphatic system
mycobacterial spindle cell pseudotumor
Mycobacterium avium complex
Mycobacterium avium Complex - isolation & purification
Mycobacterium avium-intracellulare Infection - diagnostic imaging
Mycobacterium avium-intracellulare Infection - drug therapy
Mycobacterium avium-intracellulare Infection - microbiology
non‐tuberculous mycobacteria
Treatment Outcome
title Pulmonary mycobacterial spindle cell pseudotumor in a lung transplant patient: progression without therapy and response to therapy
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