ENDOBRONCHIAL METASTASIS FROM A PRIMARY UTERINE OSTEOSARCOMA IN A PATIENT WITH MULTIPLE-MYELOMA - REPORT OF A CASE

We present herein the case of a 75-year-old woman with multiple myelom a who underwent a left lower lobectomy for endobronchial metastasis fr om an uterine osteosarcoma. She had initially been admitted to our hos pital for chemotherapy more than 1 year earlier, soon after which a pr imary uterine osteosarcoma was discovered and a total abdominal hyster ectomy and bilateral salpingo-oophorectomy performed. One year after t he operation, the patient developed hemoptysis. A flexible bronchofibe rscopy demonstrated a polypoid mass obstructing the left basal bronchu s, and computed tomographic scans showed three pulmonary nodules. Surg ery was performed to control the hemoptysis. At thoracotomy, two metas tatic nodules were identified in the left lower lobe, and the endobron chial extension of the tumor was resected en bloc with the left lower lobe. The tumor was diagnosed as lung metastasis from the uterine oste osarcoma. Although further lung tumors have recently appeared, the pat ient has remained well for the 3 years since her last operation withou t any hemoptysis.