Pulmonary leiomyosarcoma appearing as a cyst. Report of one case and review of the literature.
We describe a case of pulmonary sarcoma appearing as a cyst in the lower lobe. A review of the literature on cavities and malignancies of the lung shows that lung cavities with a wall thickness of 4 mm or less were benign in 92% of the cases. After investigation, a basal segmentectomy was performed in the belief that the lesion was benign. Surprisingly, the histological examination demonstrated spindle-shaped tumor cells, and electron-microscopic studies showed myofilaments suggesting a leiomyosarcoma. This case report illustrates the diagnostic difficulties with lung cavities.
Lillo-Gil
R
R
Albrechtsson
U
U
Jakobsson
B
B
D003560:Cysts / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D006801:Humans; D007890:Leiomyosarcoma / Q000000981:diagnostic imaging* / Q000473:pathology; D008168:Lung / Q000473:pathology; D008171:Lung Diseases / Q000000981:diagnostic imaging*; D008175:Lung Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D008297:Male; D008854:Microscopy, Electron; D008875:Middle Aged; D011859:Radiography