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Concurrent diagnosis of pulmonary metastasis of malignant mixed müllerian tumor and small cell lung cancer.

Lee YJ, Jung EJ, Lee SH, Lee YM, Kim B, Choi SJ, Jeong DH, Lee HK - Tuberc Respir Dis (Seoul) (2012)

Bottom Line: Rarely, metastatic cancer can coexist with primary.We experienced a case of concurrent diagnosis of primary small cell lung cancer and pulmonary metastasis of uterine malignant mixed Müllerian tumor (MMMT).We suggest that we have to consider the possible presence of concomitant malignancies of different origins in one organ especially with patients who had a history of malignancy in another organ.

View Article: PubMed Central - PubMed

Affiliation: Division of Pulmonology, Department of Internal Medicine, Pusan Paik Hospital, Inje University College of Medicine, Busan, Korea.

ABSTRACT
A patient who has multiple lung masses with a history of malignancy in organs other than the lung is more likely to be diagnosed with metastatic rather than primary lung cancer. Rarely, metastatic cancer can coexist with primary. We experienced a case of concurrent diagnosis of primary small cell lung cancer and pulmonary metastasis of uterine malignant mixed Müllerian tumor (MMMT). The patient was a 52-year-old female with femur fracture and multiple lung masses with a history of an operation for uterine MMMT. The small cell lung cancer was diagnosed by bronchoscopic biopsy. The central lung mass decreased after chemotherapy for small cell lung cancer but multiple peripheral masses increased. A percutaneous biopsy for one of peripheral masses revealed metastatic uterine MMMT. We suggest that we have to consider the possible presence of concomitant malignancies of different origins in one organ especially with patients who had a history of malignancy in another organ.

No MeSH data available.


Related in: MedlinePlus

Initial chest X-ray. The chest radiography reveals two multilobulated masses (arrows) in retrocardiac area of the left lung and multiple round metastatic nodules in mid lung fields of both lung.
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Figure 1: Initial chest X-ray. The chest radiography reveals two multilobulated masses (arrows) in retrocardiac area of the left lung and multiple round metastatic nodules in mid lung fields of both lung.

Mentions: A 52-year-old woman visited the department of orthopedic surgery due to the pain in her left hip for 3 months. She was a housewife who had never smoked, and she had been taking a medicine for hypertension. She had no recent trauma. A fracture of left femoral head and the enlarged right inguinal and the left iliac lymph nodes were found on the hip magnetic resonance imaging. She was referred to pulmonology department because her chest X-ray showed multiple bilateral lung masses (Figure 1). The only respiratory symptom was mild dry cough. We found a lung mass that surrounds the left lower lobar bronchus, multiple peripheral lung masses, and the lymph node enlargements of the mediastinal areas from the chest computed tomography (Figure 2). On both sides of her lower neck, multiple lymph nodes were palpable. The routine laboratory findings were not remarkable.


Concurrent diagnosis of pulmonary metastasis of malignant mixed müllerian tumor and small cell lung cancer.

Lee YJ, Jung EJ, Lee SH, Lee YM, Kim B, Choi SJ, Jeong DH, Lee HK - Tuberc Respir Dis (Seoul) (2012)

Initial chest X-ray. The chest radiography reveals two multilobulated masses (arrows) in retrocardiac area of the left lung and multiple round metastatic nodules in mid lung fields of both lung.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC3475474&req=5

Figure 1: Initial chest X-ray. The chest radiography reveals two multilobulated masses (arrows) in retrocardiac area of the left lung and multiple round metastatic nodules in mid lung fields of both lung.
Mentions: A 52-year-old woman visited the department of orthopedic surgery due to the pain in her left hip for 3 months. She was a housewife who had never smoked, and she had been taking a medicine for hypertension. She had no recent trauma. A fracture of left femoral head and the enlarged right inguinal and the left iliac lymph nodes were found on the hip magnetic resonance imaging. She was referred to pulmonology department because her chest X-ray showed multiple bilateral lung masses (Figure 1). The only respiratory symptom was mild dry cough. We found a lung mass that surrounds the left lower lobar bronchus, multiple peripheral lung masses, and the lymph node enlargements of the mediastinal areas from the chest computed tomography (Figure 2). On both sides of her lower neck, multiple lymph nodes were palpable. The routine laboratory findings were not remarkable.

Bottom Line: Rarely, metastatic cancer can coexist with primary.We experienced a case of concurrent diagnosis of primary small cell lung cancer and pulmonary metastasis of uterine malignant mixed Müllerian tumor (MMMT).We suggest that we have to consider the possible presence of concomitant malignancies of different origins in one organ especially with patients who had a history of malignancy in another organ.

View Article: PubMed Central - PubMed

Affiliation: Division of Pulmonology, Department of Internal Medicine, Pusan Paik Hospital, Inje University College of Medicine, Busan, Korea.

ABSTRACT
A patient who has multiple lung masses with a history of malignancy in organs other than the lung is more likely to be diagnosed with metastatic rather than primary lung cancer. Rarely, metastatic cancer can coexist with primary. We experienced a case of concurrent diagnosis of primary small cell lung cancer and pulmonary metastasis of uterine malignant mixed Müllerian tumor (MMMT). The patient was a 52-year-old female with femur fracture and multiple lung masses with a history of an operation for uterine MMMT. The small cell lung cancer was diagnosed by bronchoscopic biopsy. The central lung mass decreased after chemotherapy for small cell lung cancer but multiple peripheral masses increased. A percutaneous biopsy for one of peripheral masses revealed metastatic uterine MMMT. We suggest that we have to consider the possible presence of concomitant malignancies of different origins in one organ especially with patients who had a history of malignancy in another organ.

No MeSH data available.


Related in: MedlinePlus