The Internet Journal of Pulmonary Medicine™ ISSN: 1531-2984

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A Lung Saddle Tumor

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Andrea Feng
Pulmonary fellow
Pulmonary Department
Bronx Lebanon Hospital Center

Ernesto Sy
Pulmonary attending
Pulmonary Department
Bronx Lebanon Hospital Center

Citation: A. Feng & E. Sy : A Lung Saddle Tumor. The Internet Journal of Pulmonary Medicine. 2009 Volume 11 Number 1

Sir,

A 91-year-old man with 60-pack-year history of smoking and prostate cancer was admitted with one-week duration of intermittent hemoptysis and dyspnea. Physical examination revealed a cachectic man with bilateral basilar lung crepitations. A computed tomographic scan of the chest revealed a left upper lung speculated nodule (Picture A), a right inferior paratracheal lymphadenopathy (Picture B), and a subcarinal lymphadenopathy (Picture C). Flexible fiber-optic bronchoscopy was done for hemoptysis, which revealed a friable mass at the level of the carina, extending to both main bronchi (Picture D, E, F). Pathology of transbronchial needle aspiration and endobronchial biopsy showed poorly differentiated non-small cell carcinoma, favoring squamous cell type. The patient was diagnosed with stage IV non-small cell lung carcinoma and he received radiation therapy.

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	The Internet Journal of Pulmonary Medicine™ ISSN: 1531-2984 \| Home \| Editors \| Current Issue \| Archives \| Instructions for Authors \| Disclaimer \| Share with others \| A Lung Saddle Tumor Read printer friendly Subscribe in a reader Share with others Andrea Feng Pulmonary fellow Pulmonary Department Bronx Lebanon Hospital Center Ernesto Sy Pulmonary attending Pulmonary Department Bronx Lebanon Hospital Center Citation: A. Feng & E. Sy : A Lung Saddle Tumor. The Internet Journal of Pulmonary Medicine. 2009 Volume 11 Number 1 Sir, A 91-year-old man with 60-pack-year history of smoking and prostate cancer was admitted with one-week duration of intermittent hemoptysis and dyspnea. Physical examination revealed a cachectic man with bilateral basilar lung crepitations. A computed tomographic scan of the chest revealed a left upper lung speculated nodule (Picture A), a right inferior paratracheal lymphadenopathy (Picture B), and a subcarinal lymphadenopathy (Picture C). Flexible fiber-optic bronchoscopy was done for hemoptysis, which revealed a friable mass at the level of the carina, extending to both main bronchi (Picture D, E, F). Pathology of transbronchial needle aspiration and endobronchial biopsy showed poorly differentiated non-small cell carcinoma, favoring squamous cell type. The patient was diagnosed with stage IV non-small cell lung carcinoma and he received radiation therapy. This article was last modified on Tue, 23 Jun 09 20:58:23 -0500 This page was generated on Sat, 20 Mar 10 22:33:45 -0500, and may be cached.
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