Servicio de Neumología, Instituto del Tórax, Hospital Clínic, Barcelona, España.
Arch Bronconeumol. 2012 Jul;48(7):258-60. doi: 10.1016/j.arbres.2011.07.007. Epub 2011 Nov 3.
Endobronchial metastases (EBM) secondary to extrapulmonary primary tumours are rare. The most common solid malignant tumours associated with EBM are breast, renal and colorectal carcinomas. This case report describes the first documented case of EBM from anal canal carcinoma. This neoplasm constitutes less than 1% of colorectal tumours. The clinical presentation of this entity is variable, being asymptomatic in more than 50% of cases. Generally, EBM are diagnosed in advanced stages and the survival after the diagnosis is poor. It is therefore an exceptional clinical manifestation in which bronchoscopy has an important role in the diagnosis and the treatment.
支气管内转移(EBM)继发于肺外原发性肿瘤较为罕见。最常与 EBM 相关的实体恶性肿瘤是乳腺癌、肾癌和结直肠癌。本病例报告描述了首例肛门腺癌 EBM 的病例。这种肿瘤占结直肠肿瘤的比例不到 1%。该实体的临床表现多种多样,超过 50%的病例为无症状。通常,EBM 被诊断为晚期,且诊断后的生存率较差。因此,这是一种罕见的临床表现,支气管镜在诊断和治疗中具有重要作用。