Sarcoma de alto grado pulmonar en paciente con síndrome constitucional e infil- trado pulmonar persistente

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Sarcoma de alto grado pulmonar en paciente con síndrome constitucional e infil- trado pulmonar persistente

Journal Title: Revista SOCAMPAR de Patología del Tórax - Year 2017, Vol 2, Issue 2

Abstract

Patient of 76 years smoker of 40 cigarettes per day until 12 years ago, with constitutional syndrome and pneumological antecedents and criteria of bronchial hyperreactivity, follow up in consultation of routine Pneumology finding in chest X-ray, an infiltrate in the right upper lobe. A thoracoabdominopelvic CT scan is requested, with a mass of almost 4 cm superior in an axillar subsegment of the right upper lobe with underlying pleural thickening, perinodular cystic lesions and doubtful anterior satellite nodule , Right and mediastinal hilar lymphadenopathy stage IIaN1M0 (stage IIA). Fibe- roptic bronchoscopy is performed with a suggestive study of chronic bronchitis. Negative bronchoalveolar and bron- choaspolar lavage samples are collected for malignant tumor cells. We conducted a guided BAG with CT scan and biopsy results showed high grade sarcoma with intense positive vimentin, moderate weak positive actin, caldesmon, S100, Melan A negative, AE1: AE3. CK7 and CK20 negative. In PET CT results, right lung neoplasm with ipsilateral hilar adenopathy is confirmed. VATS thoracic surgery is performed later, lobectomy of upper right lobes and lympha- denectomy are performed. The patient is discharged pending cáncer treatment.

Authors and Affiliations

Alicia Peña Durán

Keywords

High-grade sarcoma; vimentin; actin; lobectomy; lymphadenectomy.

EP ID EP232213
DOI -
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