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Endobronchial Metastasis of Uterine Leiomyosarcoma
James C. Giudice, DO;
Henry Komansky, DO;
Robert Gordon, DO
College of Medicine and Dentistry of New Jersey Camden
JAMA. 1979;241(16):1684.
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To the Editor.—
A recent article published in THE JOURNAL on the endobronchial metastasis of uterine leiomyosarcoma (240:2080, 1978) prompted us to report a similar case in which the patient sustained a massive hemoptysis.
Report of a Case.—
A 56-year-old woman was admitted to our hospital with progressive hemoptysis of approximately one week's duration and that certainly was properly classified as massive1 in description. Her condition had been diagnosed as uterine leiomyosarcoma approximately one year before at the University of Pennsylvania. A total abdominal hysterectomy was performed, and the patient was relatively free of symptoms until approximately one month before admission.
The admission chest roentgenogram was clearly abnormal with multiple nodules consistent with metastatic disease. Fiberoptic bronchoscopy was performed on the second hospital day, and bleeding polypoid lesions were noted in the superior segment of the right lower lobe and the lateral segment of the right middle lobe. Because
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