Respir Case Rep. 2013; 2(2): 75-78 | DOI: 10.5505/respircase.2013.07078

Spindle Cell Carcinoma of the Lung

Bilal Halýcý¹, Sevinç Sarýnç Ulaþlý¹, Ersin Günay¹, Emre Kaçar², Fatma Aktepe³, Mehmet Ünlü^1
1Afyon Kocatepe University, Faculty Of Medicine, Department Of Pulmonary Diseases
²Afyon Kocatepe University, Faculty Of Medicine, Department Of Radiology
³Afyon Kocatepe University, Faculty Of Medicine, Department Of Pathology

Sarcomatoid carcinomas are rarely observed lung tumors. A 77-year-old male patient was admitted to our clinic with complaints of cough, anorexia, and weight loss. He had no history of smoking. A mass lesion in the lower lobe of the right lung was detected in the posteroanterior chest x- ray and thorax computed tomography. A fiberoptic bronchoscopy was performed. The biopsy result from the endobronchial lesion in the medial segment of the lower lobe in the right lung was consistent with spindle cell carcinoma of the lung. The patient was evaluated to have stage 3b non-small cell lung carcinoma and six cycles of chemotherapy were applied. An enlarged mass lesion and liver metastases were seen in the control thorax computed tomography at the sixth month of the therapy. We presented this case with spindle cell lung carcinoma as a rarely seen tumor with aggressive progression.

Keywords: sarcomatoid carcinoma, spindle cell carcinoma, lung.

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Akciðerin Ýðsi Hücreli Karsinomu

Bilal Halýcý¹, Sevinç Sarýnç Ulaþlý¹, Ersin Günay¹, Emre Kaçar², Fatma Aktepe³, Mehmet Ünlü^1
1Afyon Kocatepe Üniversitesi Týp Fakültesi; Göðüs Hastalýklarý Anabilim Dalý
²Afyon Kocatepe Üniversitesi Týp Fakültesi; Radyoloji Anabilim Dalý
³Afyon Kocatepe Üniversitesi Týp Fakültesi; Patoloji Anabilim Dalý

Sarkomatoid karsinomlar nadir görülen akciðer tü- mörlerindendir. Yetmiþ yedi yaþýnda erkek hasta öksü- rük, iþtahsýzlýk ve kilo kaybý þikayetleri ile baþvurdu. Posteroanterior akciðer grafisinde ve bilgisayarlý toraks tomografisinde sað akciðer alt lobda kitle lezyonu tespit edilmesi üzerine hastaya fiberoptik bronkoskopi yapýldý. Fiberoptik bronkoskopi iþlemi sýrasýnda sað akciðer alt lob medial segment içerisindeki endobronþiyal lezyondan alýnan biyopsi sonucu akciðerin iðsi hücreli karsinomu olarak geldi. Evre 3b küçük hücreli dýþý akciðer karsinomu olarak deðerlendirilen hastaya altý kür kemoterapi verildi. Hastanýn tedavisinin 6.ayýnda çekilen kontrol toraks tomografisinde lezyonda büyüme ve karaciðere metastaz saptandý. Akciðerin iðsi hücreli karsinomu tanýsý alan bu olgu, ender görülen akciðer malignitesi ve agresif seyri nedeniyle sunuldu.

Anahtar Kelimeler: sarkomatoid karsinom, iðsi hücreli karsinom, akciðer.

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