“…In addition, PSP generally develops slowly, showing no progress for many years and most patients display no obvious symptoms during medical examination (3,4). Moreover, previous research (5,6) showed that PSP is a single and benign tumor although some studies reported that it can present with multiple lesions and metastases, including lymph nodes (7,8), other lungs (9), liver (10), bone (11), pleura (12), and stomach (13), or even recurrence (14). Similarly, the present article reports on a patient that had a large PSP tumor with several lesions, vascular invasion and multiple metastases in the mediastinal lymph nodes, liver, celiac lymph nodes, and bones.…”