Sarcomatoid carcinomas of the lung are rare malignant biphasic tumors composed of carcinomatous and sarcomatous components. We report a case of endobronchial sarcomatoid carcinoma in a 56-year-old man with a history of smoking, in whom the tumor was an endobronchial mass arising from the superior segmental bronchus of the left lower lobe and protruding against the main bronchus without parenchymal invasion. The patient underwent left pneumonectomy but four months later died of mesenteric sarcomatous metastasis.
We report a case of chondroid chordoma without calcification in which T2-weighted MR images revealed homogeneous high signal intensity. The tumor was located in the left middle cranial fossa extending to the cerebellopontine angle and with displacement of the pituitary gland to the right side. Precontrast CT scans showed a homogeneous low-density mass, without calcification. T1-weighted MR images of the mass demonstrated relatively homogeneous low signal intensity, T2-weighted images showed homogeneous high signal intensity, and post -contrast T1-weighted images revealed somewhat heterogeneous enhancement.
Bronchioloalveolar carcinoma is characterized pathologically by a pulmonary neoplasm showing lepidic growth. More than half of all patients with bronchioloalveolar carcinoma are asymptomatic. The most frequent symptoms and signs are cough, sputum, shortness of breath, weight loss, hemoptysis, and fever. Bronchorrhea is unusual and a late manifestation. Nonmucinous bronchioloalveolar carcinoma tends to be more localized and has a lower frequency of bronchogenic spread than mucinous bronchioloalveolar carcinoma. Bronchioloalveolar carcinoma appears radiographically as a single nodule, segmental or lobar consolidation, or diffuse nodules. At computed tomography (CT), the single nodular form appears as a peripheral nodule or localized ground-glass attenuation with or without consolidation, frequently associated with bubblelike areas of low attenuation and open bronchus signs. The lobar consolidative form may demonstrate the CT angiogram and open bronchus signs. The diffuse nodular form appears as multiple nodules or areas of ground-glass attenuation or consolidation. The single nodular form has a better prognosis than the others but may show false-negative results for malignancy at 2-(fluorine-18) fluoro-2-deoxy-D-glucose positron emission tomography.
Lymphangioleiomyomatosis(LAM) is rare and essentially limited to women in the reproductive ages. A 39-year-old female was admitted due to progressive exerUional dyspnea and intermittent productive cough. Chest PA showed marked hyperinflation of the lung associated with a diffuse reticulo-nodular pattern. High resolution CT scan of the thorax demonstrated that diffusely scattered thin-walled cysts were distributed throughout the bilateral lung fields. Abdominal CT scan showed variable sized multiple angiomyolipoma of both kidney. By open lung biopsy, she was diagnosed as pulmonary LAM associated with Tuberous sclerosis and renal Angiomyolipoma. We present the case and discuss the connection between pulmonary LAM and Tuberous sclerosis.