e-ISSN 2147-2475
A Rare Case of Pulmonary Fibrosarcoma Treated by Sleeve Lobectomy [Respir Case Rep]
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 Bedirhan2
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,

Sleeve Lobektomi ile Tedavi Edilen Nadir Bir Pulmoner Fibrosarkom Olgusu

Demet Turan1, Mehmet Akif Ozgul1, Levent Cansever2, Mehmet Ali Bedirhan2
1Yedikule Göğüs hastalıkları hastanesi, Göğüs kliniği
2Yedikule Göğüs hastalıkları hastanesi, Göğüs cerrahi

Yirmi sekiz yaşında erkek hasta, acil servise hemoptizi şikayetiyle müracaat etti. Solunum sistemi muayensinde solda solunum sesleri azalmıştı ve tomografide alt lobda tıkayıcı polipoid bir lezyon ve distalinde atelektazi vardı. Bronkoskopide sol ana bronşa taşan polipoid lezyon görüldü. Lezyonun görünen kısmından snare ile biyopsi alındı ve cryo ile hemostaz sağlandı. Patolojisi fibrosarkom gelen hastaya sleeve sol alt lobektomi uygulandı. Lenf nodları ve cerrahi sınırlar negatif bulundu. Hastaya kemo/radyoterpi tedavi uygulanmadı. Primer pulmoner fibrosarkomların polipoid olarak büyümesi nadir görülmektedir. Bu hastalarda tercih edilen tedavi şekli cerrahi eksizyondur.

Anahtar Kelimeler: endobronşial fibrosarkom, endobronşial terapi, hemoptizi, akciğer cerrahisi, elektrokoter

Demet Turan, Mehmet Akif Ozgul, Levent Cansever, Mehmet Ali Bedirhan. A Rare Case of Pulmonary Fibrosarcoma Treated by Sleeve Lobectomy. Respir Case Rep. 2020; 9(3): 125-128

Corresponding Author: Mehmet Ali Bedirhan, Türkiye
LookUs & Online Makale