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Article in Japanese
Abstract
Case Report
A case of polypoid bronchial tumor diagnosed as pleomorphic carcinoma
Kazuki Hirata Hideyuki Aono Akihiro Kajita Naoyuki Shiraishi Takashi Morioka Takeshi Tokuyama
Department of Internal Medicine, Saiseikai Chuwa Hospital
ABSTRACT
A 78-year-old man complaining of dyspnea and cough was referred to our hospital. On admission, chest contrast-enhanced computed tomography showed a mass in the right main bronchus. Bronchoscopy revealed a whitish polypoid tumor that extended from the right upper lobe bronchus to the right main bronchus. We performed endoscopic bronchial polypectomy by high-frequency electrosurgery and then added radiation therapy. Histological findings showed a mixture of spindle and giant cell features, so we finally diagnosed pleomorphic carcinoma. No recurrence was observed but, 6 months after radiation therapy, a mass was detected at the same site and recurrence was suspected. Endoscopic bronchial polypectomy was very useful for symptom relief and the control of tumor progression.
KEYWORDS
Pleomorphic carcinoma Spindle cell carcinoma Sarcomatoid carcinoma Endobronchial tumor Endoscopic bronchial polypectomy
Received 28 Feb 2018 ／ Accepted 2 May 2018
AJRS, 7(4): 220-223, 2018
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