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The nodule most commonly represents a benign tumor such as a granuloma or hamartoma, but in around 20% of cases it represents a malignant cancer, [4] especially in older adults and smokers. Conversely, 10 to 20% of patients with lung cancer are diagnosed in this way. [ 4 ]
In lung cancer screening studies as many as 30% of those screened have a lung nodule, the majority of which turn out to be benign. [15] Besides lung cancer many other diseases can also give this appearance, including hamartomas, and infectious granulomas caused by tuberculosis, histoplasmosis, or coccidioidomycosis. [16]
Lung tumor; A chest X-ray showing a tumor in the lung (marked by arrow) Specialty: Oncology Pulmonology: Symptoms: Coughing (including coughing up blood), weight loss, shortness of breath, chest pains [1] Complications: Lung cancer: Causes: Smoking Radon gas Asbestos Air pollution Genetics
A sarcoidosis-like lung disease called granulomatous–lymphocytic interstitial lung disease can be seen in patients with common variable immunodeficiency (CVID) and therefore serum antibody levels should be measured to exclude CVID. [citation needed]
Compared to most other lung cancer variants, cells comprising GCCL tend to be much larger (up to 150 micrometers diameter, or even larger), [9] Both cells and nuclei show extreme variation in size distribution and shape. Carcinomatous giant cells carcinoma nuclei have been reported to average 5 times the size of lymphocyte nuclei.
Granulation tissue with a poorly formed granuloma to the left of centre. Within this area there is a multinucleate giant cell of the Langhans type. The patient had a healing mycobacterial infection of the skin (Mycobacterium ulcerans infection). Langhans giant cells (LGC) are giant cells found in granulomatous conditions.