ENDOBRONCHIAL METASTASIS FROM A PRIMARY UTERINE OSTEOSARCOMA IN A PATIENT WITH MULTIPLE-MYELOMA - REPORT OF A CASE

被引：9

作者：

AKIBA, T

UJIIE, H

TAKASAKI, N

OHKI, T

KURIHARA, H

ENDO, Y

SAKURAI, K

机构：

[1] The First Department of Surgery, Jikei University School of Medicine, Tokyo, 105, 3-25-8 Nishi-Shimbashi, Minato-ku

[2] Third Department of Internal Medicine, Jikei University School of Medicine, Tokyo, 105, 3-25-8 Nishi-Shimbashi, Minato-ku

[3] Department of Pathology, Jikei University School of Medicine, Tokyo, 105, 3-25-8 Nishi-Shimbashi, Minato-ku

来源：

SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY | 1994年 / 24卷 / 02期

关键词：

UTERINE OSTEOSARCOMA; ENDOBRONCHIAL METASTASIS; MULTIPLE MYELOMA;

D O I：

10.1007/BF02473406

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

We present herein the case of a 75-year-old woman with multiple myeloma who underwent a left lower lobectomy for endobronchial metastasis from an uterine osteosarcoma. She had initially been admitted to our hospital for chemotherapy more than 1 year earlier, soon after which a primary uterine osteosarcoma was discovered and a total abdominal hysterectomy and bilateral salpingo-oophorectomy performed. One year after the operation, the patient developed hemoptysis. A flexible bronchofiberscopy demonstrated a polypoid mass obstructing the left basal bronchus, and computed tomographic scans showed three pulmonary nodules. Surgery was performed to control the hemoptysis. At thoracotomy, two metastatic nodules were identified in the left lower lobe, and the endobronchial extension of the tumor was resected en bloc with the left lower lobe. The tumor was diagnosed as lung metastasis from the uterine osteosarcoma. Although further lung tumors have recently appeared, the patient has remained well for the 3 years since her last operation without any hemoptysis.

引用

页码：179 / 182

页数：4

共 25 条

[1]

Udelsman R., Roth J.A., Lees D., Jelenich S.E., Pass H.I., Endobronchial metastases from soft tissue sarcoma, J Surg Oncol, 32, pp. 145-149, (1986)

[2]

Kempson R.L., Bari W., Uterine sarcomas. Classification, diagnosis, and prognosis, Hum Pathol, 1, pp. 331-349, (1970)

[3]

Piscioli F., Govoni E., Polla E., Pusiol T., Darri P., Antolini M., Primary osteosarcoma of the uterine corpus. Report of a case and critical review of the literature, Int J Gynaecol. Obstet, 23, pp. 377-385, (1985)

[4]

Stier R., Lyman J.C., Osteoblastic sarcoma of the uterus, Am J Clin Pathol, 6, pp. 562-565, (1936)

[5]

Bickel D.A., Benett J.R., Rare mesodermal tumors of the uterus and vagina, Am J Obstet Gynecol, 67, pp. 1257-1264, (1954)

[6]

Scheffey L.C., Levinson J., Herbert P.A., Helper T.K., Gilmore G.H., Osteosarcoma of the uterus, Obstet Gynecol, 8, pp. 444-449, (1956)

[7]

Radman H.M., Korman W., Mixed mesodermal tumors of the uterus, Am J Obstet Gynecol, 80, pp. 1115-1123, (1960)

[8]

Carleton C.C., Williaon J.W., Osteogenic sarcoma of the uterus, Arch Pathol, 72, pp. 135-139, (1961)

[9]

Aomin G.D., Gildenhorn H.L., Review of pathogenesis of primary osteogenic sarcoma of the uterus and adnexa, Am J Obstet Gynecol, 83, pp. 1574-1578, (1962)

[10]

Karpas R.L., Merendino V.J., Uterine osteogenic sarcoma: Histochemical studies and report of a case, Obstet Gynecol, 24, pp. 629-633, (1964)

← 1 2 3 →