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L. Yamanel
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P3.08 - Poster Session/ Thymoma, Mesothelioma and Other Thoracic Malignancies (ID 226)
- Event: WCLC 2015
- Type: Poster
- Track: Thymoma, Mesothelioma and Other Thoracic Malignancies
- Presentations: 1
- Moderators:
- Coordinates: 9/09/2015, 09:30 - 17:00, Exhibit Hall (Hall B+C)
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P3.08-031 - Endobronchial Spread of Malignant Melanoma to Lungs, a Case with Original Images (ID 268)
09:30 - 09:30 | Author(s): L. Yamanel
- Abstract
Background:
Malignant melanoma, result of malignant transformation of melanocytes, metastasis mainly to regional lymph nodes, skeletal, and nervous systems. However, malignant melanoma can also metastasis to lung either. These metastases usually reach the lungs by tumor emboli to pulmonary arteries. Endobronchial spread of malignant melanoma to lungs diagnosed by bronchoscopy cases have limited number in literature. Here we share a malignant melanoma case spread endobronchially.
Methods:
‘not applicable’
Results:
62 years old male patient known to have malignant melanoma, was accepted to intensive care unit with respiratory distress and was intubated. In first evalution of his HRCT, consolidation and pleural effusion, constitute with large part of left lung’s atelectasis and less pleural effusion and partial atelectasis of neighbor parenchyma in right lung were seen. For both possible endobronchial metastasis causing airway obstruction and tumoral infiltration of parenchyma, bronchoscopy was performed through the endotracheal tube. Airway visualization revealed edema of the left main bronchus, concentrically significantly narrowed upper lobe, but segments were visible. Left lower lobe input was narrowed and segments were not visible. In entrance of left upper lobe there was an endobronchial lesion in brown- black color and slightly bulging form the mucosa like nevus. Transbronchial biopsy was taken from this nevus like formed lesion and left lung upper lobe apicoposterior. Both samples were reported as malignant melanoma by pathologist.
Conclusion:
We shared this case as an example of rare appearance of malignant melanoma with original images. We believe that this case report would be helpfull in terms of clinical practice.
