Wednesday, April 05, 2006

Unexpected findings

A 59 year old man was referred for an unexpected finding in the RUL discovered during an operative airway exam prior to resection of a large left lung mass. The lung mass turned out to be a solitary fibrous tumor. We were asked to evaluate the unexpected lesion in the right upper lobe. At bronchoscopy, I saw a lesion at the very proximal anterior segment of the RUL.




This was adherent and non-mobile. The patient is otherwise healthy, and his immune-system is intact.

Thoughts?

9 comments - CLICK HERE to read & add your own!:

Baleeiro said...

The focus seems a bit off. Is that submucosal and kind of flat? It almost looks like a submucosal echymosis...

Jennings said...

Kaposi?

Jeff H said...

It was macular, and seemed well circumscribed. There were no other similar leasions found.

Baleeiro said...

I saw a very similar lesion on a bronch as a fellow and I even did an endoBBx but couldn't find anything diagnostic...

Jeff H said...

The path from endobronchial biopsies is still pending. I will post the results when they are available.

Jeff H said...

Brushings were negative, and biopsy came back as normal bronchial epithelial cells.

Would you all do anything more?

Eugene O said...

I would carefully examine all areas of skin to look for any suspcious mole.

ranga said...

it is most likely anthracofibrosis.

ranga said...

was he a coal miner.