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Ann Thorac Surg 1990;50:739-742
© 1990 The Society of Thoracic Surgeons

Articles

Surgical management of pulmonary metastatic leiomyosarcoma with gross endobronchial extension

William H. Warren, MD*, Phyllis Bleck, MD, C.Frederick Kittle, MD, L.Penfield Faber, MD

Department of Cardiovascular-Thoracic Surgery, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois, USA

* Address reprint requests to Dr Warren, 1725 W Harrison St, Chicago, IL 60612.

Metastatic leiomyosarcoma occasionally is seen with gross endobronchial extension without invasion of the bronchial wall. These patients have major airway obstruction and partial or total atelectasis of the lung. Precise bronchoscopic assessment coupled with intraoperative bronchotomy allows the surgeon to determine the origin of the tumor and to save uninvolved pulmonary parenchyma. Our experience with 4 such patients illustrates the possibility of saving lung tissue despite total bronchial obstruction.




This article has been cited by other articles:


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LEIOMYOSARCOMA OF THE BRONCHUS: REPORT OF TWO CASES OF RESECTION WITH LONG-TERM FOLLOW-UP
J. Thorac. Cardiovasc. Surg., April 1, 2000; 119(4): 853 - 854.
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