Endobronchial Metastasis From the Uterine Cervix

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Abstract
METASTASIS to a central airway occurs in only 2% to 5% of patients dying of solid tumors of extrathoracic origin.1,2That these tumor metastases can produce clinical and roentgenographic features indistinguishable from those of primary lung cancer is not widely appreciated. Renal and colorectal carcinomas are the most common extrathoracic tumors that metastasize to the bronchus, but other reported cases of tumors with endobronchial metastases include those of the pancreas, adrenal gland, testis, thyroid, ovary, uterus, and breast, and malignant melanoma, fibrosarcoma, and osteogenic sarcoma. A patient with cervical uterine cancer experienced the first manifestation of a cancer recurrence as the symptomatic and roentgenographic appearance of endobronchial obstruction of a major central airway. These chest examination findings mimicked a primary lung cancer. Report of a Case A 28-year-old, gravida 4, para 4 woman complained in May 1977 of a persistent, dry, hacking cough of six weeks' duration and the