Respir Case Rep. 2020; 9(3): 125-128 | DOI: 10.5505/respircase.2020.04127

A Rare Case of Pulmonary Fibrosarcoma Treated by Sleeve Lobectomy

Demet Turan¹, Mehmet Akif Ozgul¹, Levent Cansever², Mehmet Ali Bedirhan^2
1Department of Pulmonology, Yedikule Hospital for Chest Disease Istanbul, Turkey
²Department of Thoracic Surgery Yedikule Hospital for Chest Disease Istanbul, Turkey.

A 28-year-old male presented to the emergency department with hemoptysis. A pulmonary examination revealed diminished lung sound on left side, and a CT scan of the chest showed an endobronchial polipoid lesion in the left main bronchus. A rigid bronchoscopy showed a polipoid lesion in left the main left bronchus, while the orifice of the lower lobe was not visible. The lesion was cut into two pieces with a snare and removed with cryotherapy, and hemostasis was achieved. A pathological examination of the lung bronchial biopsy specimen revealed fibrosarcoma. A left lower sleeve lobectomy was performed, and as surgical margins were tumor free, no chemo/radiotherapy was considered necessary. Primary endobronchial pulmonary fibrosarcomas exhibiting polypoid growths are rare. Surgical excision is the preferred treatment option in such patients

Keywords: Endobronchial Fibrosarcoma, Endobronchial Therapy, Hemoptysis, Lung surgery, Snare electrocautery,

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Sleeve Lobektomi ile Tedavi Edilen Nadir Bir Pulmoner Fibrosarkom Olgusu

Demet Turan¹, Mehmet Akif Ozgul¹, Levent Cansever², Mehmet Ali Bedirhan^2
1Yedikule Göðüs hastalýklarý hastanesi, Göðüs kliniði
²Yedikule Göðüs hastalýklarý hastanesi, Göðüs cerrahi

Yirmi sekiz yaþýnda erkek hasta, acil servise hemoptizi þikayetiyle müracaat etti. Solunum sistemi muayensinde solda solunum sesleri azalmýþtý ve tomografide alt lobda týkayýcý polipoid bir lezyon ve distalinde atelektazi vardý. Bronkoskopide sol ana bronþa taþan polipoid lezyon görüldü. Lezyonun görünen kýsmýndan snare ile biyopsi alýndý ve cryo ile hemostaz saðlandý. Patolojisi fibrosarkom gelen hastaya sleeve sol alt lobektomi uygulandý. Lenf nodlarý ve cerrahi sýnýrlar negatif bulundu. Hastaya kemo/radyoterpi tedavi uygulanmadý. Primer pulmoner fibrosarkomlarýn polipoid olarak büyümesi nadir görülmektedir. Bu hastalarda tercih edilen tedavi þekli cerrahi eksizyondur.

Anahtar Kelimeler: endobronþial fibrosarkom, endobronþial terapi, hemoptizi, akciðer cerrahisi, elektrokoter

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