Ono Manabu, Kobayashi Seiichi, Hanagama Masakazu, Ishida Masatsugu, Sato Hikari, Okutomo Koji, Endo Takuto, Shirai Yusuke, Itakura Yuko, Yanai Masaru
Department of Respiratory Medicine, Japanese Red Cross Ishinomaki Hospital, Ishinomaki, Miyagi, Japan.
Department of Pathology, Japanese Red Cross Ishinomaki Hospital, Ishinomaki, Miyagi, Japan.
Respir Med Case Rep. 2022 Sep 24;40:101747. doi: 10.1016/j.rmcr.2022.101747. eCollection 2022.
A 54-year-old woman presented with persistent productive cough, found to have an endobronchial tumor which obstructed the left upper lobe bronchus. Histopathological examination of a transbronchial biopsy of the endobronchial tumor suggested leiomyosarcoma. A positron emission tomography (PET)-CT revealed uterus tumor with moderate uptake of F-fluorodeoxyglucose, suggesting uterine malignancies. From the results of histological findings of the resected uterus and the biopsied bronchial specimen, she was diagnosed with uterine leiomyosarcoma and endobronchial metastasis. The systematic use of PET-CT could be useful for patients presenting with tumors that cause endobronchial metastasis of leiomyosarcomas.
一名54岁女性因持续性咳痰就诊,发现患有阻塞左上叶支气管的支气管内肿瘤。支气管内肿瘤经支气管活检的组织病理学检查提示为平滑肌肉瘤。正电子发射断层扫描(PET)-CT显示子宫肿瘤有中等程度的氟脱氧葡萄糖摄取,提示子宫恶性肿瘤。根据切除子宫的组织学检查结果和支气管活检标本,她被诊断为子宫平滑肌肉瘤并伴有支气管内转移。对于出现平滑肌肉瘤支气管内转移肿瘤的患者,系统使用PET-CT可能会有帮助。