Endobronchial Metastasis of Epithelioid Sarcoma.

Tuberculosis and Respiratory Diseases

article

Kim, Seo Yun¹  Lee, Ji Yeon¹  Lee, Yeon Joo¹  Park, Sung Soo¹  Koo, Hyeon Kyoung¹  Lee, Sang Min¹  Yim, Jae Joon¹  Yang, Seok Chul¹  Yoo, Chul Gyu¹  Han, Sung Koo¹  Shim, Young Soo¹  Kim, Young Whan¹ 

[1] Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine and Lung Institute, Seoul National University College of Medicine

关键词: Sarcoma;    Epithelioid;    Neoplasm Metastasis;    Bronchi;    Sarcoma;    Soft Tissue;   

DOI  :  10.4046/trd.2011.70.5.423

学科分类：医学（综合）

来源: The Korean Academy of Tuberculosis and Respiratory Diseases

【 摘 要 】

Epithelioid sarcomas are rare soft tissue sarcomas with a high tumor grade and high local recurrence and metastasis rates. Although the lung is the most common site of metastasis, endobronchial metastasis hasn't been reported yet. We now report a case of epithelioid sarcoma with endobronchial metastasis. A 28-year-old man had recurrent pneumothorax and underwent wedge resection. He presented at our hospital with hemoptysis, dyspnea, and chest pain. Chest computed tomography revealed left pneumothorax, multiple lung nodules and endobronchial lesions at the right lower basal lobe. Bronchoscopy showed a hemorrhagic mass obstructing the bronchus of the right lower basal lobe. Magnetic resonance imaging revealed multiple nodular lesions in the left thigh muscles. The bronchoscopic biopsy of the endobronchial lesion and the muscle biopsy of the thigh showed the same feature epithelioid sarcoma. This is the first case report of an epithelioid sarcoma with endobronchial metastasis that was diagnosed by bronchoscopic biopsy.

【 授权许可】

CC BY-NC