Endobronchial Metastasis of Uterine Leiomyosarcoma

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Abstract
A STRIKINGLY large endobronchial metastasis of a uterine leiomyosarcoma developed in a woman. It is reported because of its size and location and because report of such a lesion, to our knowledge, is not found in studies of endobronchial metastases. Report of a Case A 53-year-old, gravida 10, para 8, abortus 2, woman underwent total abdominal hysterectomy and bilateral salpingooophorectomy in August 1973. The uterus was found to contain an 8.5×6.0×5.0-cm firm, well-circumscribed, whitish mass that had the histological characteristics of leiomyosarcoma. There was no evidence of metastatic disease. She did well until April 1977, when she had sudden onset of dyspnea and wheezing. A chest roentgenogram showed leftsided "white lung," with right upper lobe and right basilar infiltrates (Figure). Physical examination showed an obese, distressed woman with prolonged expirations and loud expiratory wheezing. The hemoglobin value was 13.2 g/dl, the hematocrit level was 44%, and the WBC count was

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