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Concurrent acute endobronchial and endotracheal tumour embolism
  1. C G Tan1,
  2. L Shen1,
  3. L Garske2,
  4. K Tran3
  1. 1Department of Anatomical Pathology, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia
  2. 2Department of Respiratory Medicine, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia
  3. 3Department of Medicine, Logan Hospital, Meadowbrook, Queensland, Australia
  1. Correspondence to Dr C G Tan, Department of Anatomical Pathology, Princess Alexandra Hospital, Ipswich Rd, Woolloongabba, Queensland 4102, Australia; guan88{at}

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A 63-year-old man presented with a 12 h history of severe cough and a fear of choking. He had a known background of locally advanced primary adenocarcinoma of the lung obstructing the right upper bronchus. Three months previously he had coughed up white tissue (confirmed as carcinoma by histology). One month previously he received a single fraction of radiotherapy. His respiratory rate was 20 breaths/min with minimal respiratory distress. His temperature was 38.9°C and his SpO2 was 94% on room air. His trachea was deviated to the right and breath sounds were decreased in the right hemithorax. …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.