Subject(s)
Humans , Female , Middle Aged , Adenocarcinoma , Bronchial Neoplasms/pathology , Bronchial Neoplasms , Pulmonary Atelectasis , Clinical Evolution , Bronchial Neoplasms/secondary , Colonic Neoplasms/pathology , Pneumonia , Airway Obstruction/etiology , Radiography, Thoracic , Tomography, X-Ray ComputedABSTRACT
Endobronchial location of metastases is uncommon. We report a 83 year-old woman with a history of a ¡eft hemicolectomy due to tubular colon adenocarcinoma, three years ago. She consulted in the emergency room for progressive dyspnea, cough an mucous sputum. There was abolition of breath sounds and dullness in the ¡eft hemithorax. Chest X ray examination showed a complete opacity of the ¡eft lung. She was treated as a pneumonia and her left lung expanded again. Three weeks later, left lung atelectasis relapsed. A bronchial biopsy showed a moderately differentiated adenocarcinoma, compatible with colon adenocarcinoma. Immunohistochemistry confirmed the colonic origin of the tumor. The patient rejected radiotherapy and is alive after 11 months of follow up.
Subject(s)
Aged, 80 and over , Female , Humans , Adenocarcinoma/secondary , Bronchial Neoplasms/secondary , Colonic Neoplasms/pathology , Pulmonary Atelectasis/etiology , RecurrenceSubject(s)
Humans , Male , Female , Neoplasm Metastasis , Lymphatic Metastasis , Orbital Neoplasms/secondary , Bronchial Neoplasms/secondaryABSTRACT
Homem negro de 65 anos de idade referia, há 5 meses, queixas respiratórias e urinarias. A rivestigaçao realizada demonstrou a existência de carcinoma de próstata com metástases ósseas, brônquica, parenquimatosa e ganglionar hilar pulmonar. Biópsias de próstata e de brônquio revelaram carcinoma; a pesquisa de antígeno prostático específico foi positiva em ambas. O paciente foi submetido à prostatectomia e orquiectomia bilateral, bem como hormonioterapia antiandrogênica; houve involuçao das metástases brônquicas, pulmonar e ganglionar, mantendo-se inalteradas as ósseas. Em conclusao: metástases pulmonar e brônquica de carcinoma de próstata podem simular carcinoma brônquico primitivo; o tratamento hormonal foi satisfatório, evitando-se, assim, radio e quimioterapia; regressao completa com terapia antiandrogênica é possível, evitando-se radio e quimioteerapia.