Metastatic osteosarcoma and multiple lung resection. A case report

Abstract Background Solitary fibrous tumor (SFT) is a relatively rare mesenchymal tumor that mainly affects adults. Its prognosis is good after curative resection, but distant recurrences after 10 years or longer have been reported. Recurrent SFT usually arises as a local lesion; distant metastasis is rarely reported. Here, we report lung metastases that recurred a decade after excising a retroperitoneal primary SFT. Case presentation A 44-year-old woman had an SFT resected from her right retroperitoneum at our hospital. Ten years later, at age 54, she underwent a lung resection after CT showed three suspected metastases in her left lung. All three were histologically diagnosed as lung metastases from the retroperitoneal SFT. However, whereas the primary SFT had 1–2 mitotic cells/10 high power fields (HPF), the metastatic lesion increased malignancy, at 50/10 HPF. Conclusion Patients who have had resected SFTs should be carefully followed up, as malignancy may change in distant metastasis, as in this case.

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Rapid development and rupture of a pneumatocele caused by pulmonary dissection in the early postoperative period of lung resection: a case report

AME Case Reports ◽

10.21037/acr-21-37 ◽

2021 ◽

Vol 0 ◽

pp. 0-0

Author(s):

Riki Okita ◽

Masanori Okada ◽

Nobutaka Kawamoto ◽

Hidetoshi Inokawa ◽

Hisayuki Osoreda ◽

...

Keyword(s):

Case Report ◽

Postoperative Period ◽

Rapid Development ◽

Lung Resection ◽

Early Postoperative Period

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Partial anomalous pulmonary venous connection detected during right pneumonectomy

Interactive CardioVascular and Thoracic Surgery ◽

10.1093/icvts/ivz282 ◽

2019 ◽

Vol 30 (3) ◽

pp. 497-498

Author(s):

Bülent Mustafa Yenigün ◽

Gökhan Kocaman ◽

Ayşegül Gürsoy Çoruh ◽

Rıfat Murat Akal

Keyword(s):

Lung Cancer ◽

Congenital Anomaly ◽

Case Report ◽

Surgical Treatment ◽

Septal Defect ◽

Lung Resection ◽

Rare Congenital Anomaly ◽

The Right ◽

Anomalous Pulmonary Venous Connection ◽

Lung Resections

Abstract Partial anomalous pulmonary venous connection (PAPVC) is a rare congenital anomaly. Generally, it is seen on the right side and is associated with an atrial septal defect. Herein, we present a case of a 50-year-old male patient with a supracardiac type PAPVC detected during pneumonectomy for a right hilar mass. This is the second case report in the literature presenting surgical treatment of both lung cancer and PAPVC using pneumonectomy. Thoracic surgeons should be aware of this anomaly when they are planning to perform a major lung resection. If PAPVC and lung cancer are in the same lobe, anatomical lung resections including pneumonectomy can be safely performed.

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Metastatic osteosarcoma to the small bowel with resultant intussusception: a case report and review of the literature

Pediatric Radiology ◽

10.1007/s00247-003-1018-2 ◽

2003 ◽

Vol 33 (12) ◽

pp. 890-892 ◽

Cited By ~ 4

Author(s):

Sandra L. Wootton-Gorges ◽

Rebecca Stein-Wexler ◽

Danel C. West

Keyword(s):

Case Report ◽

Small Bowel ◽

Review Of The Literature ◽

Metastatic Osteosarcoma

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Computed tomography-guided tube thoracostomy for massive subcutaneous emphysema following lung resection: a case report

AME Case Reports ◽

10.21037/acr.2019.04.03 ◽

2019 ◽

Vol 3 ◽

pp. 11-11

Author(s):

Toshinari Ema ◽

Hiroshi Neyatani ◽

Saki Yamamoto ◽

Shuhei Iizuka ◽

Kazuhito Funai ◽

...

Keyword(s):

Computed Tomography ◽

Case Report ◽

Subcutaneous Emphysema ◽

Lung Resection ◽

Tube Thoracostomy

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Lung Resection as Salvage Treatment for Metastatic Osteosarcoma

Tumori Journal ◽

10.1177/030089168807400214 ◽

1988 ◽

Vol 74 (2) ◽

pp. 201-206 ◽

Cited By ~ 17

Author(s):

Ugo Pastorino ◽

Maurizio Valente ◽

Marco Gasparini ◽

Alberto Azzarelli ◽

Armando Santoro ◽

...

Keyword(s):

Operative Mortality ◽

Pulmonary Metastases ◽

Lung Metastases ◽

Salvage Surgery ◽

Lung Resection ◽

Salvage Treatment ◽

Pulmonary Metastasectomy ◽

Actuarial Survival ◽

Metastatic Osteosarcoma ◽

Distant Spread

Resection of pulmonary metastases has achieved a central role in the overall management of osteosarcoma, since a number of studies have demonstrated that salvage surgery is able to cure 20 to 40% of all relapsing patients. This paper presents the results of surgical management of 27 consecutive cases of pulmonary metastases from osteosarcoma, who underwent complete resection at the Istituto Nazionale Tumori of Milan between 1975 and 1986. In the present series, overall actuarial survival at 3 years from the first thoracotomy was 47%, with a median survival of 28 months and no operative mortality. Better results were observed in patients with single lesions (68% survival) or when the interval to lung metastases exceeded 12 months (60% survival). These data support the concept of pulmonary metastasectomy as effective salvage therapy for metastatic osteosarcomas whose distant spread is confined in the lungs.

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