title: Case of an unusual clinical and radiological presentation of pulmonary metastasis from a costal chondrosarcoma after wide surgical resection: a transbronchial biopsy is recommended.
abstract: Chondrosarcomas are the most frequently occurring primary malignant chest wall tumors. Furthermore, the lungs serve as the most frequent sites for metastases. Pulmonary metastases from sarcomas usually appear as round nodules of varying sizes on roentgenograms. Here, we report an unusual clinical and radiographic presentation of pulmonary metastasis from a costal chondrosarcoma. Bilateral pulmonary metastases developed soon after wide surgical resection. Thoracic computed tomography revealed unusual radiological findings: consolidation accompanied with ground-glass opacity. To confirm the metastasis, we recommend a transbronchial biopsy in cases where unusual pulmonary findings are detected.
authors.affiliation: Department of Orthopedic Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka 537-8511, Japan. emrmkt@yahoo.co.jp
authors.forename: Makoto
authors.initials: M
authors.lastname: Emori
authors.forename: Ken-ichiro
authors.initials: K
authors.lastname: Hamada
authors.forename: Takenori
authors.initials: T
authors.lastname: Kozuka
authors.forename: Katsuyuki
authors.initials: K
authors.lastname: Nakanishi
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Tomita
authors.forename: Norifumi
authors.initials: N
authors.lastname: Naka
authors.forename: Nobuhito
authors.initials: N
authors.lastname: Araki
mesh_terms: D000368:Aged; D001706:Biopsy; D001859:Bone Neoplasms / Q000175:diagnosis* / Q000556:secondary / Q000601:surgery; D001999:Bronchoscopy; D002813:Chondrosarcoma / Q000175:diagnosis* / Q000556:secondary / Q000601:surgery; D005260:Female; D006801:Humans; D008168:Lung / Q000473:pathology*; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000556:secondary; D012272:Ribs; D035441:Thoracic Wall / Q000601:surgery