Endobronchial Metastasis of Epithelioid Sarcoma

Seo Yun Kim, Ji Yeon Lee, Yeon Joo Lee, Sung Soo Park, Hyeon-Kyoung Koo, Sang-Min Lee, Jae-Joon Yim, Seok-Chul Yang, Chul-Gyu Yoo, Sung Koo Han, Young-Soo Shim, Young Whan Kim
2011 Tuberculosis and Respiratory Diseases  
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
more » ... horax, 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.
doi:10.4046/trd.2011.70.5.423 fatcat:q3uzwoepnnhbfcwbeyjpxnzmkm