title: Primary pulmonary sarcoma metastasising to the skin during pregnancy.
abstract: Lung cancer during pregnancy is a rare situation which is being increasingly reported during the past two decades due to a rising trend of cigarette smoking among young women and the tendency to delay pregnancy to a later age in life. We describe the case of a 32-year-old woman with primary pulmonary sarcoma, diagnosed at 31st week of pregnancy. X-ray chest and thoracic magnetic resonance imaging revealed a 9 x 6 cm mass in the left mediastinum, with tracheal shift, and pleural effusion. Biopsy performed during broncoscopy, was reported as mesenchymal tumour. She delivered a baby by Caesarean section at the 32nd week of gestation due to the development of superior vena cava syndrome. A skin biopsy taken 3 weeks later from the nodular lesion at the periumblical region was reported as a tumour metastasis. She received radiotherapy for 10 days, but died in the intensive care unit. Malignancies, even those as uncommon as a pulmonary sarcoma, should be considered in the differential diagnosis of pleural effusion during pregnancy.
authors.affiliation: Department of Gynecology and Obstetrics, Faculty of Medicine, Zonguldak Karaelmas University, Turkey.
authors.forename: Ilker
authors.initials: I
authors.lastname: Arikan
authors.forename: Aykut
authors.initials: A
authors.lastname: Barut
authors.forename: Muge
authors.initials: M
authors.lastname: Harma
authors.forename: Mehmet Ibrahim
authors.initials: MI
authors.lastname: Harma
authors.forename: Zuhal
authors.initials: Z
authors.lastname: Erdem
authors.forename: Sener
authors.initials: S
authors.lastname: Gezer
mesh_terms: D000328:Adult; D002585:Cesarean Section; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis*; D011256:Pregnancy Outcome; D012509:Sarcoma / Q000556:secondary*; D012878:Skin Neoplasms / Q000556:secondary*