Endoscopic semiotics of metastatic bronchial tumors
- Authors: Kontsevaya A.Y.1, Krylovetskaia M.A.1, Malikhova O.A.1,2, Komarov I.G.1,2
-
Affiliations:
- Blokhin National Medical Research Center of Oncology
- Russian Medical Academy of Continuous Professional Education
- Issue: Vol 23, No 1 (2021)
- Pages: 100-104
- Section: CLINICAL ONCOLOGY
- URL: https://journals.rcsi.science/1815-1434/article/view/70342
- DOI: https://doi.org/10.26442/18151434.2021.1.200714
- ID: 70342
Cite item
Full Text
Abstract
Aim. To study the possibilities of bronchoscopy in the detection and evaluation of metastatic lung tumors.
Materials and methods. From 2017 to September 2020, 3719 bronchoscopies, including 1081 biopsies during bronchoscopy were performed at the Blokhin National Medical Research Center of Oncology. According to the results of the morphological verification, 40 patients had been diagnosed with lung metastasis.
Results. Endobronchial metastatic tumors from extrapulmonary malignancies are quite rare. After had studying 40 cases of metastatic bronchial tumors, we found that the most commonly primary malignancies associated with endobronchial metastases were breast cancer (12 patients), colorectal cancer (6 patients) and thyroid cancer (4 patients). All patients who had been diagnosed with the pathology during the bronchoscopy had been required to make a biopsy for the purpose of morphological verification.
Conclusion. The value of bronchoscopy lies in the possibility not only of the detailed visual studying and detecting the tumor pathology of the bronchial tree, but also of obtaining material for morphological analysis. In this regard, the role of biopsy during bronchoscopy is extremely important. In the visual signs of tumor lesion, it is necessary to take multiple biopsies from different parts of the tumor.
Keywords
Full Text
##article.viewOnOriginalSite##About the authors
Anna Y. Kontsevaya
Blokhin National Medical Research Center of Oncology
Email: mariyakrilo@gmail.com
ORCID iD: 0000-0001-5816-9106
Cand. Sci. (Med.)
Russian Federation, MoscowMariia A. Krylovetskaia
Blokhin National Medical Research Center of Oncology
Author for correspondence.
Email: mariyakrilo@gmail.com
ORCID iD: 0000-0002-0868-3948
endoscopist
Russian Federation, MoscowOlga A. Malikhova
Blokhin National Medical Research Center of Oncology; Russian Medical Academy of Continuous Professional Education
Email: mariyakrilo@gmail.com
D. Sci. (Med.), Prof.
Russian Federation, Moscow; MoscowIgor G. Komarov
Blokhin National Medical Research Center of Oncology; Russian Medical Academy of Continuous Professional Education
Email: mariyakrilo@gmail.com
ORCID iD: 0000-0002-3495-5521
D. Sci. (Med.), Prof.
Russian Federation, Moscow; MoscowReferences
- Концевая А.Ю. Эндоскопическая диагностика и лечение вторичных злокачественных опухолевых поражений трахеи и бронхов. Дис. … канд. мед. наук. М., 2004 [Kontsevaia A.Iu. Endoskopicheskaia diagnostika i lechenie vtorichnykh zlokachestvennykh opukholevykh porazhenii trakhei i bronkhov. Dis. … kand. med. nauk. Moscow, 2004 (in Russian)].
- Akoglu S, Uçan ES, Celik G, et al. Endobronchial metastases from extrathoracic malignancies. Clin Exp Metastasis 2005; 22 (7): 587–91. doi: 10.1007/s10585-005-5787-x
- Braman SS, Whitcomb ME. Endobronchial metastasis. Arch Intern Med 1975; 135: 543–7.
- Breta M, Arava S, Madan K, et al. Endobronchial metastasis from extrathoracic malignancies: A clinicopathological study of 11 cases. Lung India 2019; 36 (3): 212–5.
- Coriat R, Diaz O, de la Fouchardière C, et al. Endobronchial metastases from colorectal adenocarcinomas: clinical and endoscopic characteristics and patient prognosis. Oncology 2007; 73 (5-6): 395–400. doi: 10.1159/000136794
- Hegerova L, Griebeler ML, Reynolds JP, et al. Metastasis to the thyroid gland: report of a large series from the Mayo Clinic. Am J Clin Oncol 2015; 38 (4): 338–42. doi: 10.1097/COC.0b013e31829d1d09
- Ikemura K, Lin DM, Martyn CP, et al. Endobronchial Metastasis from Extrapulmonary Neoplasms: Analysis of Clinicopathologic Features and Cytological Evaluation by Bronchial Brushing. Lung 2017; 195 (5): 595–9. doi: 10.1007/s00408-017-0017-2
- Jens B. Sørensen Endobronchial metastases from extra pulmonary solid tumors. Acta Oncologica 2004; 43: 73–9.
- Katsimbri PP, Bamias AT, Froudarakis ME, et al. Endobronchial metastases secondary to solid tumors: report of eight cases and review of the literature. Lung Cancer 2000; 28 (2): 163–70. doi: 10.1016/s0169-5002(99)00134-8
- Kho SS, Yong MC, Chan SK, et al. Colon carcinoma with endobronchial metastasis masquerading as bronchial asthma causing ball valve effect. Med J Malaysia 2018; 73: 403–4.
- Kim J-H, Min D, Song S-H, et al. Endobronchial Metastases from Extrathoracic Malignancies: Recent 10 Years’ Experience in a Single University Hospital. Tuberc Respir Dis (Seoul) 2013; 74 (4): 169–76.
- Lee SH, Jung JY, Kim DH, et al. Endobronchial Metastases from Extrathoracic Malignancy. Yonsei Med J 2013; 54 (2): 403–9.
- Marchioni A, Lasagni A, Busca A, et al. Endobronchial metastasis: an epidemiologic and clinicopathologic study of 174 consecutive cases. Lung Cancer 2014; 84 (3): 222–8. doi: 10.1016/j.lungcan.2014.03.005.
- Rosenblatt MB, Lisa JR, Trinidad S. Pitfalls in the clinical histologic diagnosis of bronchogenic carcinoma. Dis Chest 1966; 49: 396–404.
- Shroff GS, Benveniste MF, Carter BW, et al. Imaging of metastases in the chest: Mechanisms of spread and potential pitfalls. Semin Ultrasound CT MR 2017; 38: 594–603.