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Lobectomy of pulmonary metastasis of endometrial stromal sarcoma.

Abstract
Pulmonary metastasis of low-grade endometrial stromal sarcoma is rare. A 61-year-old woman visited our hospital due to an abnormal chest shadow. Computed tomograhy showed a mass that was composed of a cystic and solid lesion, in the right lower lobe. She had undergone a combination of a hysterectomy and adnexectomy for a low-grade endometrial stromal sarcoma 57 months previously, and undergone adjuvant radiation therapy at the local site. To obtain a definitive diagnosis of the lung tumor, we performed lobectomy of the right lower lobe and lymph node dissection. To avoid possible dissemination, the tumor was resected not using video-assisted thoracic surgery but using thoracotomy. The pathologic diagnosis was pulmonary metastasis of the low-grade endometrial stromal sarcoma. Now, medroxyprogesterone acetate is being administered, and no signs of recurrence have been detected in the 24 months since the lung resection.
AuthorsYusuke Nakamura, Masayuki Iwazaki, Ryota Masuda, Masao Nakano, Teiko Sato, Akihiko Shimada
JournalThe Tokai journal of experimental and clinical medicine (Tokai J Exp Clin Med) Vol. 38 Issue 4 Pg. 142-5 (Dec 20 2013) ISSN: 2185-2243 [Electronic] Japan
PMID24318286 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Medroxyprogesterone Acetate
Topics
  • Adnexa Uteri (surgery)
  • Chemoradiotherapy, Adjuvant
  • Dysostoses
  • Female
  • Humans
  • Hysterectomy
  • Lung Neoplasms (diagnosis, pathology, secondary, surgery)
  • Lymph Node Excision
  • Medroxyprogesterone Acetate (administration & dosage)
  • Middle Aged
  • Pelvis (abnormalities)
  • Pneumonectomy
  • Sarcoma, Endometrial Stromal (diagnosis, secondary, surgery)
  • Thorax (abnormalities)
  • Treatment Outcome
  • Uterine Neoplasms (diagnosis, pathology, surgery)

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