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Vol.49 No.3 contents | Japanese/English |
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- Case Report -
A Case of Peripheral Mucoepidermoid Carcinoma of the Lung with Hemoptysis Successfully Resected After Bronchial Arterial Embolization
Mantaro Kodate1, Toshihiro Osaki1, Hiroshi Tokubuchi1, Hidehiko Yamomoto2, Noriyuki Ebi2, Junji Murakami31Department of Chest Surgery, 2Department of Respiratory Medicine, 3Department of Radiology, Iizuka Hospital, Japan
Background. Mucoepidermoid carcinoma is a rare malignancy occasionally arising from segmental or subsegmental bronchi. We report a case of mucoepidermoid carcinoma with hemoptysis which was resected after bronchial arterial embolization. Case. A 57-year-old man presented with hemoptysis and was admitted to the Department of Respiratory Medicine. Chest X-ray showed ground glass opacity in the right upper lung field, and CT showed a solid tumor. Right bronchial arteriography demonstrated a hypervascular area in the right upper lobe and embolization was performed. Right upper lobectomy with hilar and mediastinal lymph nodes dissection was performed 11 days after embolization. Examination of the resected specimen revealed a tumor 21 mm in diameter and most of the tumor was necrotic due to embolization. Histologically, the tumor cells were composed of clear cells, intermediate cells and squamous epithelial cells, indicating mucoepidermoid carcinoma (pT1N0M0, stage IA). Conclusion. Bronchial arterial embolization should be considered because mucoepidermoid carcinoma can cause hemoptysis even if it originates in the periphery of the lung.
key words: Mucoepidermoid carcinoma, Hemoptysis, Bronchial arterial embolization
Received: August 27, 2008
Accepted: February 2, 2009
JJLC 49 (3): 298-302, 2009
