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KMID : 0383820110700050423
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Tuberculosis and Respiratory Diseases
2011 Volume.70 No. 5 p.423 ~ p.427
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Endobronchial Metastasis of Epithelioid Sarcoma
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Kim Seo-Yun
Lee Ji-Yeon
Lee Yeon-Joo
Park Sung-Soo
Koo Hyun-Kyung
Lee Sang-Min
Yim Jae-Joon
Yang Seok-Chul
Yoo Chul-Gyu
Han Sung-Koo
Shim Young-Soo
Kim Young-Whan
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Abstract
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Epithelioid sarcomas are rare soft tissue sarcomas with a high tumor grade and high local recurrence and metastasis rates. Although the lung is the most common site of metastasis, endobronchial metastasis hasn’t been reported yet. We now report a case of epithelioid sarcoma with endobronchial metastasis. A 28-year-old man had recurrent pneumothorax and underwent wedge resection. He presented at our hospital with hemoptysis, dyspnea, and chest pain. Chest computed tomography revealed left pneumothorax, multiple lung nodules and endobronchial lesions at the right lower basal lobe. Bronchoscopy showed a hemorrhagic mass obstructing the bronchus of the right lower basal lobe. Magnetic resonance imaging revealed multiple nodular lesions in the left thigh muscles. The bronchoscopic biopsy of the endobronchial lesion and the muscle biopsy of the thigh showed the same feature epithelioid sarcoma. This is the first case report of an epithelioid sarcoma with endobronchial metastasis that was diagnosed by bronchoscopic biopsy.
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KEYWORD
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Sarcoma, Epithelioid, Neoplasm Metastasis, Bronchi, Sarcoma, Soft Tissue
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