Complications during removal of a pedunculated endobronchial leiomyosarcoma

Annamalai, Al.; Shreekumar, S.; P, Vadivelu; Shyamala, P.

doi:10.1136/thx.26.6.747

Cited by 5 publications

(3 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most reported cases of endobronchial tumour embolism occurred as a result of surgical manipulation during pneumonectomy [1,4,5,8,9,11,[14][15][16][17][18]. Several investigators have stated that endobronchial tumour embolism is underreported in the surgical literature [1,11].…”

Section: Discussionmentioning

confidence: 99%

“…The majority of cases of endobronchial tumour embolism describe obstruction of a MSB by emboli that become dislocated from an endobronchial tumour within the contralateral MSB (Table ). Tumour embolism lodging between the tracheal carina and a single‐lumen ETT during pneumonectomy has also been found to result in obstruction of the contralateral MSB in addition to the ETT . A tumour embolus has been found to travel as proximally as the subglottic region of the trachea and to occur in ipsilateral airways whereby an embolus originating from an LUL tumour caused the sudden occlusion of the LMSB and LLL .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

It's better to be lucky … successful management of an acute endobronchial tumour embolism in the ICU: a case report and review of the literature

Walsh

Olivenstein

Forget³

et al. 2017

Respirology Case Reports

View full text Add to dashboard Cite

Endobronchial tumour embolism is a rare cause of acute central airway obstruction. It is primarily reported during pneumonectomy, and the outcome is frequently fatal. Successful management requires the urgent removal of tumour with rigid or flexible bronchoscopy. We present the case of a 62‐year‐old woman with poorly differentiated non‐small cell lung cancer (NSCLC), referred to our institution for Nd:YAG laser photoresection of endobronchial tumour completely obstructing the right mainstem bronchus (RMSB). Soon after admission, our patient developed critical hypoxemia, rapidly followed by cardiac arrest. Bronchoscopy was urgently performed and revealed a necrotic tumour occluding the left mainstem bronchus (LMSB), with some residual tumour and clot at the RMSB. The tumour acutely obstructing the LMSB was successfully extracted using a foreign body retrieval basket and large flexible biopsy forceps via a large (therapeutic) flexible bronchoscope. Ventilation immediately improved, with the return of a pulse, and the patient was successfully extubated the next day. Pathology of the tumour embolism revealed NSCLC with necrosis and an adherent clot. Here, we review 16 published reports of endobronchial tumour embolism in relation to our case.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

It's better to be lucky … successful management of an acute endobronchial tumour embolism in the ICU: a case report and review of the literature

Walsh

Olivenstein

Forget³

et al. 2017

Respirology Case Reports

View full text Add to dashboard Cite

show abstract

“…We could not find any other reports of primary pulmonary leiomyosarcoma diagnosed by spontaneous tumor expectoration. Annamalai et al [10]reported a pedunculated leiomyosarcoma, which dislodged spontaneously and blocked the left main bronchus, on the proximal part of the left upper lobe bronchus.…”

Section: Discussionmentioning

confidence: 99%

Primary Endobronchial Leiomyosarcoma

Lee

Shim²,

Shin³

et al. 2001

Respiration

View full text Add to dashboard Cite

A case is presented with spontaneous expectoration of a small piece of solid tissue. Pathologic examination of the expectorated tissue was found to be consistent with leiomyosarcoma. After further work-up, there was no evidence of another primary site of leiomyosarcoma except for the right lower lobe. Right lower lobectomy was performed. The surgical specimen showed a tumor that was histologically identical to the patient’s previous expectorated tissue. To the authors’ knowledge, this is the first report of partial expectoration of a primary endobronchial leiomyosarcoma.

show abstract