Primary pulmonary leiomyosarcoma with coexistent pulmonary aspergillosis: a case report.

Autor: Badheeb A; Department Oncology, King Khalid Hospital, Najran, Saudi Arabia.; Department of Internal Medicine, Faculty of Medicine, Hadhramout University, Hadhramout, Yemen., Al Gharem N; Department of Radiology, King Khalid Hospital, Najran, Saudi Arabia., Al Hammadi S; Department of Pathology, King Khalid Hospital, Najran, Saudi Arabia., Elsagheer S; Department of Thoracic Surgery, King Khalid Hospital, Najran, Saudi Arabia., Badheeb M; Department of General Medicine, King Khalid Hospital, Najran, Saudi Arabia., Ahmed F; Urology Research Center, Al-Thora General Hospital, Department of Urology, School of Medicine, Ibb University of Medical Science, Ibb, Yemen.
Jazyk: angličtina
Zdroj: The Pan African medical journal [Pan Afr Med J] 2022 Jun 20; Vol. 42, pp. 135. Date of Electronic Publication: 2022 Jun 20 (Print Publication: 2022).
DOI: 10.11604/pamj.2022.42.135.34116
Abstrakt: Coexisting primary pulmonary leiomyosarcoma (PPL) with pulmonary Aspergillosis in immunocompetent patients is a rare occurrence. Here, we presented a 54-year-old woman presented with a dry cough for two months. Bronchoscopy revealed pulmonary aspergillosis. The patient was treated with antifungal therapy for one month without improvement. To evaluate further, a chest computed tomography (CT) scan showed a large heterogeneous enhancing mass in the lower lobe of the left lung with left atrium thrombosis. Computed tomography-guided biopsy was performed, and histopathology demonstrated the diagnosis of PPL. The metastasis workup staging showed multiple metastases in vertebrae, scapula, rib, and liver. The patient was treated with chemotherapy followed by tumor bed radiotherapy. Unfortunately, her general condition worsened, and she passed away with overall survival of fourteen months. In conclusion, clinicians should be alert to underlying malignant disease if airway Aspergillus infection is suspicious in patients without strong risk factors for invasive fungal infection.
Competing Interests: The authors declare no competing interests.
(Copyright: Ahmed Badheeb et al.)
Databáze: MEDLINE
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