Chest
Selected ReportsEndobronchial Metastasis From Osteosarcoma of Bone: Treatment With Intraluminal Radiotherapy
Section snippets
Case Report
A 21-year-old man presented with a 2-month history of gradually increasing dyspnea, nonproductive cough, and wheeze. He gave a history of weight loss of about 15 kg over a year. He also reported 2 days of fever.
Approximately 3 years (34 months) before his current problems occurred, the patient had pain and swelling in the left knee, which on excision biopsy had been proved to be caused by an osteosarcoma of the bone. At that time, CT scans of the cranium, thorax, and abdomen, along with bone
Discussion
We present a young man with osteosarcoma of the proximal tibia who developed extensive metastatic disease involving the lung parenchyma and, more interestingly, the major airways, and in whom ILT provided effective palliation.
It has been suggested that osteosarcoma should be regarded as a metastatic disease, even when only a single primary lesion is found at the initial presentation.6 Metastatic disease to the lungs is found in the majority of patients dying of osteosarcoma. However, spread to
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Cited by (0)
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Currently at North West Lung Research Centre, Wythenshawe Hospital, Manchester, UK.