Volume 4, Issue 4 pp. 453-456
Case Report

Multiple endotracheal and endobronchial metastases after pneumonectomy for a primary lung cancer: A case report

Hyo Chul Youn

Hyo Chul Youn

Department of Thoracic and Cardiovascular Surgery, Kyung Hee University Medical Center, Seoul, Korea

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Yee Hyung Kim

Corresponding Author

Yee Hyung Kim

Department of Pulmonary and Critical Care Medicine, School of Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University, Seoul, Korea

Correspondence

Yee Hyung Kim, Department of Pulmonary and Critical Care Medicine, Kyung HeeUniveristy Hospital at Gangdong, 134-727, Dongnamro 892, Gangdonggu, Seoul, Korea.

Tel: +82 2 440 6281

Fax: +82 2 440 8150

Email: [email protected]

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Young Kyung Lee

Young Kyung Lee

Department of Radiology, School of Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University, Seoul, Korea

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Gou Young Kim

Gou Young Kim

Department of Pathology, School of Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University, Seoul, Korea

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First published: 21 August 2012
Citations: 8

Abstract

Endotracheal metastasis of primary lung cancer is extremely rare. We report the case of a 51-year-old male patient who had undergone right pneumonectomy for squamous cell carcinoma one year earlier. The post-operative chest computed tomography (CT) image revealed a very small endotracheal nodule with contrast enhancement. This finding was erroneously regarded as endotracheal phlegm because of the nodular size and the rarity of endotracheal metastases from primary lung cancer. This case indicates that a thorough evaluation should be performed with a high level of suspicion for malignancy when a nodule-like lesion with contrast enhancement or tracheal thickening is detected on follow-up CT scan, in patients who undergo surgery for lung cancer.

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