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Cardiovascular Disease |

Late Bilateral Endobronchial Metastasis Due to Rectum Cancer

Ismail Hanta, MD
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Çukurova University, Adana, Turkey


Chest. 2013;144(4_MeetingAbstracts):158A. doi:10.1378/chest.1690588
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Abstract

SESSION TITLE: Cardiovascular Student/Resident Case Report Posters II

SESSION TYPE: Medical Student/Resident Case Report

PRESENTED ON: Tuesday, October 29, 2013 at 01:30 PM - 02:30 PM

INTRODUCTION: Although lungs are the area of metastasis in many cancers of organ systems; endobronchial, particularly bilaterally, metastases are uncommon. In this report, a case of bilateral endobronchial metastasis due to rectum cancer is presented

CASE PRESENTATION: A 50 years old female patient, with smoking habit at 30 packs x years, has admitted to our out-patient clinic with the symptom of dsypnea within the 3 months, which increased in last ten days. In medical history, she had surgery and after, chemoradiotheraphy due to rectum cancer 7 years ago; and right lower lobectomy was performed due to lung metastasis 2 years ago. Physical examination was normal except lung sounds were diminished in right hemithorax. Thorax compturized tomography revealed the nearly total collapse of right lung. At fiberoptic bronchoscopic examination, it was found that bilateral endobronchial masses were almost blockade right and left main bronchi at the level of main carina. The left polypoid endobronchial mass was debrided mechanically, and endobronchial stent was placed at left main bronchus. At follow-up procedure, the patient was clinically improved.

DISCUSSION: Colorectal cancer is the fourth most common malignancy in the world. The lung is common metastatic area after the liver, and usually occur within 2 years. Although lung metastasis is usually present multipl nodular lesion, endobroncial metastasis are uncommon.

CONCLUSIONS: Although endobronchial metastasis are uncommon condition in patients wih extrapulmonary malignancies, should also be taken into consideration differential diagnosis even after several years

Reference #1: Hwa K. Am J Respir Cirt Care Med 2011;183:142-43.

DISCLOSURE: The following authors have nothing to disclose: Ismail Hanta

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