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http://dx.doi.org/10.4046/trd.2013.75.6.250

Adjuvant Treatment of Proper Endobronchial Management in Leiomyosarcoma  

Kim, Soo Jung (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University College of Medicine)
Kim, Junghyun (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University College of Medicine)
Park, Ju-Hee (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University College of Medicine)
Lee, Ae-Ra (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University College of Medicine)
Lee, Jung-Kyu (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University College of Medicine)
Kim, Tae Min (Department of Internal Medicine, Seoul National University College of Medicine)
Park, Young Sik (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University College of Medicine)
Publication Information
Tuberculosis and Respiratory Diseases / v.75, no.6, 2013 , pp. 250-255 More about this Journal
Abstract
Endobronchial metastasis of leiomyosarcoma is rare, but it can cause life-threatening complications, such as massive hemoptysis, respiratory failure or even death. The development of new endoscopic modalities allows for effective endobronchial management. We report three patients with endobronchial metastases from advanced leiomyosarcomas which caused bronchial obstruction. The bronchoscopic examinations revealed masses obstructing the left main bronchus in all three patients. After removing the endobronchial tumor via interventional bronchoscopy, there was symptomatic and radiologic improvement. Moreover, the patients were able to undergo additional palliative chemotherapy. Therefore, endobronchial management of endobronchial tumors should be considered in the treatment of endobronchial metastasis, even in patients with advanced malignancies.
Keywords
Bronchoscopy; Palliative Care; Leiomyosarcoma; Neoplasm Metastasism;
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1 Heyman BM, Chung MM, Lark AL, Shofer S. Endobronchial metastasis from primary anorectal melanoma. Am J Case Rep 2013;14:253-7.   DOI
2 Themelin D, Duchatelet P, Boudaka W, Lamy V. Endoscopic resection of an endobronchial hypernephroma metastasis using a polypectomy snare. Eur Respir J 1990;3:732-3.
3 Yilmaz A, Aktas Z, Alici IO, Caglar A, Sazak H, Ulus F. Cryorecanalization: keys to success. Surg Endosc 2012;26:2969-74.   DOI   ScienceOn
4 Schumann C, Hetzel M, Babiak AJ, Hetzel J, Merk T, Wibmer T, et al. Endobronchial tumor debulking with a flexible cryoprobe for immediate treatment of malignant stenosis. J Thorac Cardiovasc Surg 2010;139:997-1000.   DOI   ScienceOn
5 Hetzel M, Hetzel J, Schumann C, Marx N, Babiak A. Cryorecanalization: a new approach for the immediate management of acute airway obstruction. J Thorac Cardiovasc Surg 2004;127:1427-31.   DOI   ScienceOn
6 Montero C, Valino P, Souto A, Fernandez Mdel M, Suarez J, Verea H. Endoscopic treatment of metastasis in the main bronchi from sarcoma: a report of 2 cases. Arch Bronconeumol 2010;46:40-3.
7 Rose PG, Piver MS, Tsukada Y, Lau T. Patterns of metastasis in uterine sarcoma: an autopsy study. Cancer 1989;63:935-8.   DOI   ScienceOn
8 Giudice JC, Komansky H, Gordon R. Endobronchial metastasis of uterine leiomyosarcoma. Jama 1979;241:1684.
9 Du Rand IA, Barber PV, Goldring J, Lewis RA, Mandal S, Munavvar M, et al. Summary of the British Thoracic Society guidelines for advanced diagnostic and therapeutic flexible bronchoscopy in adults. Thorax 2011;66:1014-5.   DOI   ScienceOn
10 Hetzel J, Bockeler M. Endoscopic treatment for tumorous obstructions of the tracheobronchial system: a comparison of available techniques. Pneumologie 2012;66:408-15.   DOI   ScienceOn
11 Fournel C, Bertoletti L, Nguyen B, Vergnon JM. Endobronchial metastases from colorectal cancers: natural history and role of interventional bronchoscopy. Respiration 2009;77:63-9.   DOI   ScienceOn
12 Kiani A, Khosravi A, Moghaddam AS, Jabbari H, Fakhri M. Long-term survival of a small cell lung cancer patient with proper endobronchial management. Pneumologia 2012;61:245-8.
13 Tomita M, Shiono Y, Sugaya S, Ikemoto I, Oishi Y. A case of lung collapse caused by endobronchial metastasis from renal cell carcinoma reinflated with laser and electrosurgical snaring. Hinyokika Kiyo 2002;48:459-62.