Current Thoracic Surgery

Metastasis of tracheobronchial tree is an infrequent and life-threatening condition. Endobronchial metastasis is rare while endotracheal metastasis is extremely rare entity. Renal cell carcinoma (RCC) constitutes approximately 3% of all adult malignancies and metastasizes 30% cases to organs during the course of the disease. Lung is the most common target organ of RCC metastasis and usually bilateral parenchymal metastases are seen as well as tracheobronchial system. Hemoptysis may be the first manifestation and bronchoscopy is useful for both diagnosis and therapy. Argon plasma coagulation (APC) is a choice of current therapeutic techniques to achieve hemostasis from bleeding endobronchial lesions. Here we report a case of 72-year-old man was suffering hemoptysis due to endotracheal metastasis of RCC diagnosed via rigid bronchoscopy and palliated with APC successfully.