Acta clinica Croatica, Vol. 53. No. 4., 2014.
Other
Tongue Carcinoma with Endobronchial Metastasis: A Rare Case
İlknur Başyiğit
; Department of Pulmonary Disease, Kocaeli University Medical Faculty, Kocaeli, Turkey
Haşim Boyacı
; Department of Pulmonary Disease, Kocaeli University Medical Faculty, Kocaeli, Turkey
Esra Kuşlu Uçar
; Department of Pulmonary Disease, Kocaeli University Medical Faculty, Kocaeli, Turkey
Kürşat Yıldız
; Department of Pathology, Kocaeli University Medical Faculty, Kocaeli, Turkey
Serap Argun Barış
; Department of Pulmonary Disease, Kocaeli University Medical Faculty, Kocaeli, Turkey
Füsun Yıldız
; Department of Pulmonary Disease, Kocaeli University Medical Faculty, Kocaeli, Turkey
Abstract
Endobronchial metastases of extrapulmonary malignant tumors are quite rare. We present a patient with endobronchial metastasis previously operated for tongue carcinoma. A 71-year-old female patient presented with the complaint of cough. She had a history of tongue carcinoma operation 2 years before. Chest x-ray revealed an air-fluid level in the lower zone of the right hemithorax. There was a big cavitary lesion in the right lower lobe and bilateral multiple nodular lesions, some of which had cavity formation on computed tomography. Bronchoscopy revealed a polypoid lesion with necrotic appearance and pathologic examination showed squamous cell carcinoma. The lesion was accepted as a metastasis of tongue carcinoma after evaluation of the materials taken from the tongue on previous operation. There was no finding suggestive of local recurrence; however, the patient died from hemoptysis and respiratory insufficiency. In conclusion, endobronchial metastasis should be considered in patients with extrapulmonary malignancies and bronchoscopic examination should be performed in such cases, even in the presence of atypical radiological findings.
Keywords
Tongue neoplasms; Neoplasm metastasis; Bronchial neoplasms, secondary; Case reports
Hrčak ID:
136826
URI
Publication date:
1.12.2014.
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