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?
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9 comments:

  1. BaleeiroWed Apr 05, 03:41:00 PM

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

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  2. JenningsWed Apr 05, 04:32:00 PM

    Kaposi?

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  3. Jeff HWed Apr 05, 04:41:00 PM

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

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  4. BaleeiroWed Apr 05, 05:45:00 PM

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

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  5. Jeff HThu Apr 06, 01:43:00 PM

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

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  6. Jeff HFri Apr 07, 09:44:00 AM

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

    Would you all do anything more?

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  7. AnonymousFri Apr 07, 09:53:00 PM

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

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  8. UnknownFri Apr 13, 05:52:00 PM

    it is most likely anthracofibrosis.

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  9. UnknownFri Apr 13, 05:52:00 PM

    was he a coal miner.

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