An Unusual Case of Pulmonary Sarcomatoid Carcinoma (Subtype Spindle Cell Carcinoma) Presenting as Endobronchial Mass with Pulmonary Artery Invasion: A Case Report and Literature Review (original) (raw)

胸腔醫學, 2014

Abstract

Pulmonary sarcomatoid carcinoma is a rare form of non-small cell lung cancer that comprises 0.1% to 0.4% of all lung malignancies. Patients are predominantly male smokers with a median age of 60 to 70 years. The clinical course is aggressive and the prognosis is significantly worse than that of other forms of non-small cell lung cancer. Pulmonary sarcomatoid carcinoma usually presents as a large, solitary, peripheral mass with chest wall invasion, and very rarely as a protruding endobronchial tumor with pulmonary vessel invasion. We report the case of a 59-year-old female non-smoker with the unusual presentation of pulmonary sarcomatoid carcinoma (subtype spindle cell carcinoma) as an endobronchial mass obstructing the left main bronchus and invading the left pulmonary artery.

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