Endoscopic Treatment of Metastasis in the Main Bronchi From Sarcoma: A Report of 2 Cases期刊界 All Journals 搜尽天下杂志传播学术成果专业期刊搜索期刊信息化学术搜索

Endoscopic Treatment of Metastasis in the Main Bronchi From Sarcoma: A Report of 2 Cases

Authors:	Carmen Montero Paz Valiño Ana Souto María del Mar Fernández Juan Suárez Héctor Verea

Affiliation:	1. Servicio de Emergencias Médicas, Fundación Pública Urxencias Sanitarias de Galicia-061 (FPUSG-061), Servicio Gallego de Salud, Santiago de Compostela, A Coruña, España;2. Servicio de Críticos y Urgencias Pediátricas, Hospital Clínico Universitario de Santiago de Compostela, Instituto de Investigación Sanitaria de Santiago, Santiago de Compostela, A Coruña, España;1. Laboratorio de Ecocardiografia de Estrés, Complejo Hospitalario Universitario de A Coruña (CHUAC), A Coruña, España;2. Servicio de Cardiología, Complejo Hospitalario Universitario de A Coruña (CHUAC), A Coruña, España;1. Servicio de Urología, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, España;2. Unidad de Epidemiología Clínica, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, España;3. Servicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, España;1. Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Porto, Portugal;2. Thymus Development and Function Laboratory, Instituto de Biologia Molecular e Celular, Porto, Portugal;3. Molecular Pathology, Institute of Biomedicine and Translational Medicine, University of Tartu, Tartu, Estonia

Abstract:	Leiomyosarcoma is a cancer that can affect the soft tissues or organs. The standard treatment is complete tumor resection. Prognosis is difficult to predict and distant metastases can occur after a long disease-free period. Lung metastases are common but metastasis to the main bronchi with pulmonary atelectasis is very rare.We describe 2 cases of pulmonary atelectasis and obstructive pneumonitis due to metastasis to the main bronchi from leiomyosarcoma of the uterus in one of the patients and leiomyosarcoma of the thigh in the other. Both patients were treated with endoscopic resection. We discuss the role of endoscopic laser treatment in the palliation of symptoms and as an initial procedure before other cancer treatments are started.

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