Current Thoracic Surgery 2016 , Vol 1 , Issue 1
Expectoration of a tumor tissue: metastatic endobronchial leiomyosarcoma treated with endoscopy
Serkan Kaya1,Leyla Pur Yigit2,Mustafa Erelel3,Alper Toker4,
1Department of Thoracic Surgery, School of Medicine, Namık Kemal University, Tekirdağ, Turkey
2Department of Allergy-Immunology, School of Medicine, Koç University Hospital, İstanbul, Turkey
3Department of Chest Disease, İstanbul School of Medicine, İstanbul University, İstanbul, Turkey
4Department of Thoracic Surgery, İstanbul School of Medicine, İstanbul University, İstanbul, Turkey
DOI : 10.26663/cts.2016.0007 Viewed : 855 - Downloaded : 429 A 57-year-old male patient was admitted to our department with symptoms of dyspnea and hemoptysis, followed by a spontaneous expectoration of a small piece of solid tissue. He had two operations 13 and 3 years ago for perineal leiomyosarcoma and was on intermittent chemotherapy regimen until last year. Computerized chest tomography revealed an endotracheal mass with multiple metastatic nodular lesions at both lung fields. The pathologic examination of the expectorated tissue was found to be consistent with the metastasis of leiomyosarcoma. Solid polypoid endotracheal lesion adherent to the anterolateral wall and obstructing 70% of trachea was excised with the rigid bronchoscopy and argon laser. Keywords : Endotracheal; hemoptysis; dyspnea; leiomyosarcoma; bronchoscopy