title: Lobectomy of pulmonary metastasis of endometrial stromal sarcoma.
abstract: Pulmonary metastasis of low-grade endometrial stromal sarcoma is rare. A 61-year-old woman visited our hospital due to an abnormal chest shadow. Computed tomograhy showed a mass that was composed of a cystic and solid lesion, in the right lower lobe. She had undergone a combination of a hysterectomy and adnexectomy for a low-grade endometrial stromal sarcoma 57 months previously, and undergone adjuvant radiation therapy at the local site. To obtain a definitive diagnosis of the lung tumor, we performed lobectomy of the right lower lobe and lymph node dissection. To avoid possible dissemination, the tumor was resected not using video-assisted thoracic surgery but using thoracotomy. The pathologic diagnosis was pulmonary metastasis of the low-grade endometrial stromal sarcoma. Now, medroxyprogesterone acetate is being administered, and no signs of recurrence have been detected in the 24 months since the lung resection.
authors: Department of General Thoracic Surgery, Tokai University Hachioji Hospital, 1838 Ishikawa-machi, Hachioji, Tokyo 192-0032, Japan. yus_naka@yahoo.co.jp.
authors: Yusuke
authors: Y
authors: Nakamura
authors: Masayuki
authors: M
authors: Iwazaki
authors: Ryota
authors: R
authors: Masuda
authors: Masao
authors: M
authors: Nakano
authors: Teiko
authors: T
authors: Sato
authors: Akihiko
authors: A
authors: Shimada
mesh_terms: D000290:Adnexa Uteri / Q000601:surgery; D059186:Chemoradiotherapy, Adjuvant; D004413:Dysostoses; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008175:Lung Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000556:secondary* / Q000601:surgery*; D008197:Lymph Node Excision; D017258:Medroxyprogesterone Acetate / Q000008:administration & dosage; D008875:Middle Aged; D010388:Pelvis / Q000002:abnormalities; D011013:Pneumonectomy; D018203:Sarcoma, Endometrial Stromal / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery*; D013909:Thorax / Q000002:abnormalities; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery
chemical_list: D017258:Medroxyprogesterone Acetate