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Primary pulmonary leiomyosarcoma with invasion of the pulmonary vein-A case report
Elizabeth M Colwell1, Mohamed F Algahim1, Arjun Rao2
1Medical College of Wisconsin, Division of Cardiothoracic Surgery, 9200 W. Wisconsin Avenue, Milwaukee, WI 53226, United States.
Introduction:
Primary pulmonary leiomyosacromas are a subset of the rare sarcomatous lung neoplasms, found to be less than 0.5% of the organ's primary malignant tumors (Attanoos et al., 1996).
Presentation Of Case:
We describe here a case of a 69-year-old woman who presented with heart palpitations, incidentally found to have a large lung mass abutting the left inferior pulmonary veins. Challenging tissue diagnosis led to invasive alternatives; attempted full neoplastic resection and pneumonectomy.
Discussion:
The mainstay of treatment for these tumors is complete surgical resection. Chemotherapy and radiation can be helpful adjuncts as well.
Conclusion:
This case presents a unique invasion pattern of a primary leiomyosarcoma of the lung, our diagnostic process, and surgical intervention.
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