Endobronchial metastasis from testicular seminoma.
OBJECTIVE
To present a case of endobronchial metastasis from a seminoma mimicking a primary pulmonary mass on X-ray radiograph.


METHODS
A 27-year-old man presented with a 1-month history of hemoptysis. Thorax computerized tomography of the patient obtained at the level of the main right bronchi demonstrated a mass with a size of 7 x 6 cm and a peripheral lobulated nodule. Bronchoscopic examination showed narrowing and multiple nodules in the right upper and right intermediary lobar bronchi. Histopathological examination of bronchial biopsies and brushing confirmed endobronchial metastasis of the testicular seminoma.


CONCLUSIONS
This case shows the prognostic significance of distinguishing endobronchial metastasis from primary lung carcinoma.
Department of Chest Diseases, School of Medicine, Karadeniz Technical University, Trabzon, Turkey. savoz@mynet.com
Savaş
S
Ozsu
M Muharrem
MM
Erol
Funda
F
Oztuna
Safak
S
Ersöz
Halil
H
Kavgaci
Hamit Z
HZ
Aksoy
D000328:Adult; D001984:Bronchial Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary*; D003937:Diagnosis, Differential; D006469:Hemoptysis / Q000175:diagnosis; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging; D008175:Lung Neoplasms / Q000175:diagnosis; D008297:Male; D018239:Seminoma / Q000000981:diagnostic imaging / Q000556:secondary*; D013736:Testicular Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D014057:Tomography, X-Ray Computed