Few of us today would consider syphilis as a diagnostic possibility when approaching the problem of a pulmonary lesion. It is the purpose of this communication to present a case of gumma of the lung which was diagnosed as a result of a thoracotomy for a suspected neoplasm.
Report of a Case
A 70-year-old white man was admitted to the Urology Service of Michael Reese Hospital on Sept. 14, 1958, complaining of nocturia, dysuria, urgency, and a slow urinary stream. A diagnosis of benign prostatic hypertrophy was made, but a routine admission survey chest x-ray revealed a large left upper lung field mass. In view of this latter finding, he was transferred to the Chest Service for further study. Additional history revealed a weight loss of 65 lb. over 3 years, intermittent wheezing respirations for 1 year, a daily cough productive of a small amount of clear sputum, and exertional