[A case of solitary endobronchial metastasis of hepatocellular carcinoma].
An 80-year-old man was admitted in October, 2002 with blood-tinged sputum. He had already been treated for hepatocellular carcinoma (HCC). The chest radiograph and chest CT scan showed a solitary pulmonary mass in the left lower lobe. The serum alpha fetoprotein (AFP) was elevated to 261 ng/ml. Fiberoptic bronchoscopy revealed an endobronchial tumor at left B8a and the results of brushing cytology were compatible with HCC. We confirmed the diagnosis by immunohistochemical staining using anti-AFP antibody. Endobronchial metastatis of HCC is rare and immunohistochemical staining was useful for diagnosis.
Kido
Takashi
T
Department of Respiratory Disease, University of Occupational and Environmental Health.
Iwanaga
Tomoaki
T
Takata
Shouhei
S
Kaketa
Yoko
Y
Kawanami
Toshinori
T
Kido
Masamitsu
M
D000368:Aged; D000369:Aged, 80 and over; D014408:Biomarkers, Tumor / Q000097:blood; D001980:Bronchi / Q000473:pathology; D001999:Bronchoscopy; D006528:Carcinoma, Hepatocellular / Q000000981:diagnostic imaging / Q000556:secondary*; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology*; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary*; D008297:Male; D014057:Tomography, X-Ray Computed; D000509:alpha-Fetoproteins / Q000032:analysis
D014408:Biomarkers, Tumor; D000509:alpha-Fetoproteins