Squamous Cell Carcinomas of the Lung Which Presented as Numerous Polypoid Nodules in the Tracheobronchial Tree: A Case Report

Hyun Gyu Lee; Yo Won Choi; Hyun Jung Yoon; Seung Sam Paik

doi:10.3348/jksr.2017.76.3.211

Journal List > J Korean Soc Radiol > v.76(3) > 1087776

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Lee, Choi, Yoon, and Paik: Squamous Cell Carcinomas of the Lung Which Presented as Numerous Polypoid Nodules in the Tracheobronchial Tree: A Case Report

Case Report

J Korean Soc Radiol 2017;76(3):211-215.

Published online: 7 January 2017

DOI: https://doi.org/10.3348/jksr.2017.76.3.211

Squamous Cell Carcinomas of the Lung Which Presented as Numerous Polypoid Nodules in the Tracheobronchial Tree: A Case Report

Hyun Gyu Lee¹, Yo Won Choi^∗,¹, Hyun Jung Yoon¹, Seung Sam Paik²

¹Department of Radiology, Hanyang University Hospital, Hanyang University College of Medicine, Seoul, Korea

²Department of Pathology, Hanyang University Hospital, Hanyang University College of Medicine, Seoul, Korea

^∗ Corresponding author: Yo Won Choi, MD Department of Radiology, Hanyang University Hospital, Hanyang University College of Medicine,222-1 Wangsimni-ro, Seongdong-gu, Seoul 04763, Korea. Tel. 82-2-2290-9373 Fax. 82-2-2290-2111 E-mail: ywchoi@hanyang.ac.kr

Received 15 July 20169 August 2016 Accepted 13 August 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report a case of squamous cell carcinomas of the lung, which presented as nu-merous polypoid nodules in the tracheobronchial tree. They occurred at two years and 7 months after resection of squamous cell carcinoma, which presented as a lung nodule in the left lower lobe, and at 7 months after resection of tracheal squamous cell carcinoma.

Index terms:

Index terms

Lung Neoplasms, Neoplasms, Second Primary, Carcinoma, Squamous Cell

REFERENCES

1. Obusez EC, Jamjoom L, Kirsch J, Gildea T, Mohammed TL. Computed tomography correlation of airway disease with bronchoscopy: part I–nonneoplastic large airway diseases. Curr Probl Diagn Radiol. 2014; 43:268–277.

2. Ling IT, Mulrennan SA, Phillips MJ. Multiple endobronchial polyps. J Bronchology Interv Pulmonol. 2011; 18:154–157.

3. Yoon RG, Kim MY, Song JW, Chae EJ, Choi CM, Jang S. Primary endobronchial marginal zone B-cell lymphoma of bronchus-associated lymphoid tissue: CT findings in 7 patients. Korean J Radiol. 2013; 14:366–374.

4. Burke G, McCaughan B, Glanville A. Metachronous tracheal squamous cell carcinoma treated with Nd: YAG laser. Respirol Case Rep. 2015; 3:22–24.

5. Youn HC, Kim YH, Lee YK, Kim GY. Multiple endotracheal and endobronchial metastases after pneumonectomy for a primary lung cancer: a case report. Thorac Cancer. 2013; 4:453–456.

6. Okita R, Shimizu K, Mimura T, Miyata Y, Okada M, Arihiro K. Suggestive synchronous triple squamous cell carcinoma of the lung in the same lobe. Gen Thorac Cardiovasc Surg. 2010; 58:427–430.

7. Martini N, Melamed MR. Multiple primary lung cancers. J Thorac Cardiovasc Surg. 1975; 70:606–612.

8. Girard N, Deshpande C, Lau C, Finley D, Rusch V, Pao W, et al. Comprehensive histologic assessment helps to differen-tiate multiple lung primary nonsmall cell carcinomas from metastases. Am J Surg Pathol. 2009; 33:1752–1764.

9. van Rens MT, Eijken EJ, Elbers JR, Lammers JW, Tilanus MG, Slootweg PJ. p53 mutation analysis for definite diagnosis of multiple primary lung carcinoma. Cancer. 2002; 94:188–196.

10. Hwang HJ, Kim MY, Kim SS, Choi CM. CT Characteristic of early local recurrence after resection of the squamous cell carcinoma: comparison with CT characteristics of stump deformity or granulation tissue at stump site. Medicine (Bal-timore). 2015; 94:e1691.

Fig. 1.

A case of squamous cell carcinomas of the lung, which presented as multiple tracheobronchial polyps in a 61-year-old male. A. Initial CT without enhancement axial image mediastinal window shows a 2 cm-sized nodule in the left lower lobe, which was confirmed to be moderately differentiated squamous cell carcinoma by histopathologic examination through wedge resection (arrow). B, C. Follow-up CT without enhancement axial and coronal image mediastinal windows obtained two years after wedge resection show a 1.5-cm-sized mural nodule along the left side of the trachea with adjacent focal tracheal wall thickening. After tracheal resection, moderately differentiated squamous cell carcinoma was detected by histopathologic examination (arrow). D, E. CT was obtained seven months after resection of the tracheal lesion, and the coronal lung window images show innumerable polypoid nodules along the trachea, both main bronchi, and the right bronchus intermedius. Squamous cell carcinoma in situ was diagnosed by histopathologic examination through bronchoscopic biopsy.

TOOLS

Similar articles