Pulmonary leiomyosarcoma mimicking glomus tumor at first biopsy and surgically treated with isolated left main bronchus resection: rare clinical documentation

Soft tissue tumors originating within the endobronchial tree are extremely rare and most of them correspond to lipomas or leiomyomas. We here report a rare clinical presentation of leiomyosarcoma mimicking glomus tumor at initial biopsy arising from the left main bronchial trunk leading to left lowe...

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Bibliographic Details
Published in:Irish journal of medical science 2013-12, Vol.182 (4), p.735-738
Main Authors: Falkenstern-Ge, R. F., Friedel, G., Bode-Erdmann, S., Ott, G., Mentzel, T., Kohlhäufl, M., Ott, M. M.
Format: Article
Language:English
Subjects:
Aged
Biomarkers, Tumor - analysis
Biopsy
Brief Report
Bronchi - pathology
Bronchi - surgery
Bronchial Neoplasms - complications
Bronchial Neoplasms - pathology
Bronchial Neoplasms - surgery
Family Medicine
General Practice
Glomus Tumor - pathology
Humans
Internal Medicine
Leiomyosarcoma - complications
Leiomyosarcoma - pathology
Leiomyosarcoma - surgery
Male
Medicine
Medicine & Public Health
Pneumonectomy
Pulmonary Atelectasis - etiology
Thoracotomy
Treatment Outcome
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Summary:Soft tissue tumors originating within the endobronchial tree are extremely rare and most of them correspond to lipomas or leiomyomas. We here report a rare clinical presentation of leiomyosarcoma mimicking glomus tumor at initial biopsy arising from the left main bronchial trunk leading to left lower lobe atelectasis. Primary leiomyosarcoma of the lung is an unusual malignancy. Among this entity, the endobronchial form is very rare and the preoperative diagnosis is extremely difficult. We documented two different presentations and outcomes of primary endobronchial leiomyosarcoma of the lung. In this clinical presentation, histological study and immunohistochemical stain of the surgical resection provided the final diagnosis. Through the following we present the diagnostic and therapeutic difficulties encountered with endobronchial leiomyosarcoma.
ISSN:0021-1265
1863-4362
DOI:10.1007/s11845-013-0962-6