Vol.59 No.2 contents | Japanese/English |
Full Text of PDF (1384K) Article in Japanese |
- Case Report -
A Case of Pulmonary Carcinosarcoma in a Never-Smoking Elderly Woman
Haruka Kondo1, Sayaka Tachibana1, Shoko Seki1, Junya Nakamura1, Kazuhiko Saeki1, Koji Inoue11Department of Respiratory Medicine, Ehime Prefectural Central Hospital, Japan
Background. Pulmonary carcinosarcoma is a rare malignant lung tumor that tends to occur in heavy smokers and elderly men. The prognosis is poor, and there is no established method of treatment. Case. A never-smoking 71-year-old woman was admitted to our hospital because of dyspnea. Chest X-ray showed an abnormal shadow in the left lung field. Chest computed tomography showed a mass occupying the left main bronchus with atelectasis of the left upper lobe. Bronchoscopy showed a mass that was covered by necrotic tissue in the left main bronchus. A transbronchial biopsy did not result in a definitive diagnosis. Because lung cancer was suspected, surgery was performed. The pathological findings revealed pulmonary carcinosarcoma with mixed components of squamous cell carcinoma with keratinization and osteosarcoma with osteoid. The tumor recurred early after surgery, but recurrent tumors were well-controlled. The patient is currently alive at about three years after surgery. Conclusion. We herein report a treated case of pulmonary carcinosarcoma in a never-smoking elderly woman.
key words: Lung cancer, Pulmonary carcinosarcoma, Woman, Never-smoker, Surgery
Received: November 1, 2018
Accepted: February 12, 2019
JJLC 59 (2): 168-172, 2019