Pulmonary leiomyosarcoma presenting as a pancoast tumor.
A patient presenting with Pancoast syndrome was definitely diagnosed to have pulmonary leiomyosarcoma. The patient underwent a right upper lobectomy combined with resection of the chest wall, including the 1st to 3rd ribs. The disease recurred rapidly at the local and distant sites. No previous reports about pulmonary sarcoma presenting as a Pancoast tumor were found in the literature. The possibility of primary pulmonary leiomyosarcoma should be considered, and early detection and surgical resection are necessary when a round or oval tumor with necrosis is observed in the apex of the lung.
Shoji
Fumihiro
F
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan. fshoji@surg2.med.kyushu-u.ac.jp
Yoshino
Ichiro
I
Takeshita
Masafumi
M
Sumiyoshi
Shinji
S
Sueishi
Katsuo
K
Maehara
Yoshihiko
Y
D000970:Antineoplastic Agents / Q000627:therapeutic use; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007890:Leiomyosarcoma / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D008175:Lung Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D008207:Lymphatic Metastasis; D008875:Middle Aged; D009336:Necrosis; D009361:Neoplasm Invasiveness; D009362:Neoplasm Metastasis; D009364:Neoplasm Recurrence, Local / Q000188:drug therapy; D010178:Pancoast Syndrome / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D011013:Pneumonectomy; D035441:Thoracic Wall / Q000601:surgery; D014057:Tomography, X-Ray Computed
D000970:Antineoplastic Agents