TY - JOUR
T1 - Endobronchial metastasis of fibrosarcoma successfully managed via rigid bronchoscopy
AU - Yaman, Feride
AU - Saadeh, Alara Abu
AU - Youcefi, Houssam Eddine
AU - Safaei, Seyedehtina
AU - Kimiaei, Ali
AU - Çağan, Pinar
AU - Kutlu, Cemal Asim
N1 - Publisher Copyright:
© Indian Association of Cardiovascular-Thoracic Surgeons 2025.
PY - 2025
Y1 - 2025
N2 - This case report describes a 60-year-old female with a history of high-grade epithelioid myxofibrosarcoma, initially diagnosed in the right gluteal region. After resection, she experienced a recurrence at the same site, treated with radiotherapy. Fifteen months post-diagnosis, she developed pulmonary metastasis, confirmed by positron emission tomography-computed tomography (PET-CT). Surgical resection of the nodules via video-assisted thoracoscopic surgery (VATS) showed clear margins. Three months later, the patient presented with respiratory distress and rapidly deteriorated due to a mass occluding the right main bronchus, leading to complete lung collapse. Emergency bronchoscopy successfully excised the mass, revealing intact bronchial architecture. Following the procedure, she began treatment with larotrectinib, resulting in significant clinical improvement and enhanced lung aeration on follow-up imaging. This case highlights the importance of monitoring for airway obstruction in malignancy patients and the effectiveness of bronchoscopy in managing such complications.
AB - This case report describes a 60-year-old female with a history of high-grade epithelioid myxofibrosarcoma, initially diagnosed in the right gluteal region. After resection, she experienced a recurrence at the same site, treated with radiotherapy. Fifteen months post-diagnosis, she developed pulmonary metastasis, confirmed by positron emission tomography-computed tomography (PET-CT). Surgical resection of the nodules via video-assisted thoracoscopic surgery (VATS) showed clear margins. Three months later, the patient presented with respiratory distress and rapidly deteriorated due to a mass occluding the right main bronchus, leading to complete lung collapse. Emergency bronchoscopy successfully excised the mass, revealing intact bronchial architecture. Following the procedure, she began treatment with larotrectinib, resulting in significant clinical improvement and enhanced lung aeration on follow-up imaging. This case highlights the importance of monitoring for airway obstruction in malignancy patients and the effectiveness of bronchoscopy in managing such complications.
KW - Endobronchial metastasis
KW - Fibrosarcoma
KW - Rigid bronchoscopy
UR - http://www.scopus.com/inward/record.url?scp=85214118397&partnerID=8YFLogxK
U2 - 10.1007/s12055-024-01883-7
DO - 10.1007/s12055-024-01883-7
M3 - Article
AN - SCOPUS:85214118397
SN - 0970-9134
JO - Indian Journal of Thoracic and Cardiovascular Surgery
JF - Indian Journal of Thoracic and Cardiovascular Surgery
ER -