Abstract
A patient presenting with Pancoast syndrome was definitely diagnosed to have pulmonary leiomyosarcoma. The patient underwent a right upper lobectomy combined with resection of the chest wall, including the 1st to 3rd ribs. The disease recurred rapidly at the local and distant sites. No previous reports about pulmonary sarcoma presenting as a Pancoast tumor were found in the literature. The possibility of primary pulmonary leiomyosarcoma should be considered, and early detection and surgical resection are necessary when a round or oval tumor with necrosis is observed in the apex of the lung.
MeSH terms
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Antineoplastic Agents / therapeutic use
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Fatal Outcome
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Female
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Humans
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Leiomyosarcoma / complications
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Leiomyosarcoma / diagnosis*
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Leiomyosarcoma / drug therapy
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Leiomyosarcoma / pathology
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Leiomyosarcoma / surgery
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Lung Neoplasms / complications
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Lung Neoplasms / diagnosis*
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Lung Neoplasms / drug therapy
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Lung Neoplasms / pathology
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Lung Neoplasms / surgery
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Lymphatic Metastasis
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Middle Aged
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Necrosis
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Neoplasm Invasiveness
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Neoplasm Metastasis
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Neoplasm Recurrence, Local* / drug therapy
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Pancoast Syndrome / drug therapy
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Pancoast Syndrome / etiology*
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Pancoast Syndrome / pathology
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Pancoast Syndrome / surgery
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Pneumonectomy
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Thoracic Wall / surgery
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Tomography, X-Ray Computed