Endobronchial Metastasis of Epithelioid Sarcoma
김영환 (서울대학교)
Ji Yeon Lee (Seoul National University)
Yeon Joo Lee (Seoul National University)
Sung Soo Park (Seoul National University)
Hyeon-Kyoung Koo (Seoul National University)
Sang-Min Lee (Seoul National University)
임재준 (서울대학교)
양석철 (서울대학교)
유철규 (서울대학교)
한성구 (서울대학교)
심영수 (서울대학교)
- 다운로드 수
- 조회수
Abstract
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.
- keywords
- Sarcoma, Epithelioid, Neoplasm Metastasis, Bronchi, Sarcoma, Soft Tissue
참고문헌
1. Cormier JN, Pollock RE. Soft tissue sarcomas. CA Cancer J Clin 2004;54:94-109.
2. Enzinger FM. Epitheloid sarcoma. A sarcoma simulating a granuloma or a carcinoma. Cancer 1970;26: 1029-41.
3. Spillane AJ, Thomas JM, Fisher C. Epithelioid sarcoma: the clinicopathological complexities of this rare soft tissue sarcoma. Ann Surg Oncol 2000;7:218-25.
4. Whitworth PW, Pollock RE, Mansfield PF, Couture J, Romsdahl MM. Extremity epithelioid sarcoma. Amputation vs local resection. Arch Surg 1991;126:1485-9.
5. de Visscher SA, van Ginkel RJ, Wobbes T, Veth RP, Ten Heuvel SE, Suurmeijer AJ, et al. Epithelioid sarcoma: still an only surgically curable disease. Cancer 2006;107:606-12.
6. Ross HM, Lewis JJ, Woodruff JM, Brennan MF. Epithelioid sarcoma: clinical behavior and prognostic factors of survival. Ann Surg Oncol 1997;4:491-5.
7. Braman SS, Whitcomb ME. Endobronchial metastasis. Arch Intern Med 1975;135:543-7.
8. Rosenblatt MB, Lisa JR, Trinidad S. Pitfalls in the clinical histologic diagnosis of bronchogenic carcinoma. Dis Chest 1966;49:396-404.
9. Udelsman R, Roth JA, Lees D, Jelenich SE, Pass HI. Endobronchial metastases from soft tissue sarcoma. J Surg Oncol 1986;32:145-9.
10. Warren WH, Bleck P, Kittle CF, Faber LP. Surgical management of pulmonary metastatic leiomyosarcoma with gross endobronchial extension. Ann Thorac Surg 1990; 50:739-42.
11. Jawad MU, Extein J, Min ES, Scully SP. Prognostic factors for survival in patients with epithelioid sarcoma: 441 cases from the SEER database. Clin Orthop Relat Res 2009;467:2939-48.
12. Bos GD, Pritchard DJ, Reiman HM, Dobyns JH, Ilstrup DM, Landon GC. Epithelioid sarcoma. An analysis of fifty-one cases. J Bone Joint Surg Am 1988;70:862-70.
13. Shimm DS, Suit HD. Radiation therapy of epithelioid sarcoma. Cancer 1983;52:1022-5.
14. Armah HB, Parwani AV. Epithelioid sarcoma. Arch Pathol Lab Med 2009;133:814-9.
15. Salud A, Porcel JM, Rovirosa A, Bellmunt J. Endobronchial metastatic disease: analysis of 32 cases. J Surg Oncol 1996;62:249-52.
- 다운로드 수
- 조회수
- 0KCI 피인용수
- 0WOS 피인용수