[Late recurrence of a small cell cancer of the lung or a 2nd small cell cancer? Apropos of a case]. / Réévolution tardive d'un cancer du poumon à petites cellules ou deuxième cancer à petites cellules? A propos d'une observation.

We report a case of a patient presenting with a small cell cancer of the lung which was limited to the thorax and treated by radiotherapy and chemotherapy in March 1983. In december 1986 a contralateral small cell cancer still limited to the thorax was discovered and treated with success using chemotherapy. Nevertheless the complete remission obtained did not last beyond 16 months and the patient died in september 1988. We discuss the possibility of late metastasis but we think the occurrence of a second small cell cancer is the more plausible hypothesis.

[Pulmonary histoplasmosis due to Histoplasma capsulatum. A case]. / Histoplasmose pulmonaire à Histoplasma capsulatum. Un cas.

The authors report a case of benign multinodular pulmonary histoplasmosis, occurring in a 65 year old woman coming back from Guatemala. The disease presented with both fever and cough. The diagnosis was made on a lung biopsy (by thoracotomy) that showed granulomas with giant cells, lymphocytes and central necrosis, and histoplasma capsulatum yeasts on Gomori Grocott coloration. The authors recall the main radiological forms of the disease, and the difficulties of the diagnosis. When not disseminated, histoplasmosis usually has a good prognosis and does not require any treatment.