RESUMO
Fine needle aspiration is a useful procedure in the diagnosis of lung cancer, however controversy still remains as to whether it should be employed particularly in patients with operable lung cancer. We report herein a case of metastatic tumor at the site of transthoracic needle biopsy following a curative resection in a patient with stage IB bronchogenic carcinoma. The patient was managed with aggressive chest wall resection and subsequent musculocutaneus flap transposition, however he died 11 months after the initial operation. The tumor implantation risk and the related complications should be considered in patients with operable bronchogenic carcinoma undergoing a tranthoracic needle aspiration biopsy.
Assuntos
Biópsia por Agulha , Carcinoma de Células Escamosas/patologia , Neoplasias Pulmonares/patologia , Complicações Pós-Operatórias/patologia , Neoplasias da Coluna Vertebral/patologia , Vértebras Torácicas/patologia , Idoso , Carcinoma de Células Escamosas/cirurgia , Humanos , Pulmão/patologia , Neoplasias Pulmonares/cirurgia , Masculino , Inoculação de Neoplasia , Estadiamento de Neoplasias , Pneumonectomia , Complicações Pós-Operatórias/cirurgia , Reoperação , Neoplasias da Coluna Vertebral/cirurgia , Vértebras Torácicas/cirurgiaRESUMO
A 54-year old woman, intensively treated for aggressive, relapsed lymphoma had symptoms of severe dyspnea and hoarseness. The diagnosis of endotracheal aspergilloma was made by sputum culture, bronchoscopy and biopsy. The lesions consisted of endotracheal aspergilloma associated with tracheal obstruction due to the mass effect. The patient improved dramatically after removal of the mass.