This was adherent and non-mobile. The patient is otherwise healthy, and his immune-system is intact.
Thoughts?
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?
This was adherent and non-mobile. The patient is otherwise healthy, and his immune-system is intact.
Thoughts?
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9 comments - CLICK HERE to read & add your own!:
The focus seems a bit off. Is that submucosal and kind of flat? It almost looks like a submucosal echymosis...
Kaposi?
It was macular, and seemed well circumscribed. There were no other similar leasions found.
I saw a very similar lesion on a bronch as a fellow and I even did an endoBBx but couldn't find anything diagnostic...
The path from endobronchial biopsies is still pending. I will post the results when they are available.
Brushings were negative, and biopsy came back as normal bronchial epithelial cells.
Would you all do anything more?
I would carefully examine all areas of skin to look for any suspcious mole.
it is most likely anthracofibrosis.
was he a coal miner.
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