Pulmonary metastasis with an endobronchial growth pattern: report of a case

Ann Thorac Cardiovasc Surg. 2000 Oct;6(5):326-8.

Abstract

We herein report a case of a pulmonary metastatic tumor with an endobronchial growth pattern. A 75-year-old female was operated on for pulmonary metastasis which originated from a malignant melanoma of the upper gum. Computed tomography (CT) of the chest demonstrated a solitary mass in right S6 region and a preoperative bronchoscopic examination revealed an endobronchial tumor in rtB6b. A retrospective analysis of the chest CT showed a thickened bronchial wall extending to the entrance of rtB6b. Therefore, not a wedge resection but a segmentectomy (rtS6) was performed. When the surgical margin is determined, we should therefore keep in mind the possibility of an endobronchial growth pattern if only a solitary mass is recognized on the CT, even though pulmonary metastatic tumors showing an endobronchial growth pattern is uncommon.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Bronchi / pathology
  • Bronchography
  • Female
  • Gingival Neoplasms / pathology
  • Humans
  • Lung Neoplasms / diagnostic imaging
  • Lung Neoplasms / secondary*
  • Lung Neoplasms / surgery
  • Melanoma / diagnostic imaging
  • Melanoma / secondary*
  • Melanoma / surgery
  • Tomography, X-Ray Computed