Bronchial pleomorphic adenoma coexisting with lung cancer

Ann Thorac Cardiovasc Surg. 2011;17(2):174-7. doi: 10.5761/atcs.cr.09.01516.

Abstract

Pleomorphic adenoma usually occurs in the salivary glands but rarely in the trachea or bronchi. A 71-year-old man had abnormal shadows on a chest X-ray. Chest CT revealed one tumor in the right basal segment of the lung and another, in the left main bronchus. Bronchoscopic biopsy of the right tumor revealed well-differentiated squamous cell carcinoma. Right lower lobectomy and lymph node dissection were performed (pT2N0M0, stage IB). At the orifice of the left main bronchus, bronchoscopy identified a polypoid lesion nearly obstructing the airway. The lesion was resected with hot snare ablation. The histological examination revealed a mixture of epithelial and myxoid mesenchymal elements, characterized by ductal structures, squamous metaplasia, and cartilage tissue. The diagnosis was bronchial pleomorphic adenoma coexisting with squamous cell carcinoma of the lung.

Publication types

  • Case Reports

MeSH terms

  • Adenoma, Pleomorphic / pathology*
  • Adenoma, Pleomorphic / surgery
  • Aged
  • Biopsy
  • Bronchial Neoplasms / pathology*
  • Bronchial Neoplasms / surgery
  • Bronchoscopy
  • Carcinoma, Squamous Cell / pathology*
  • Carcinoma, Squamous Cell / surgery
  • Humans
  • Lung Neoplasms / pathology*
  • Lung Neoplasms / surgery
  • Male
  • Neoplasm Staging
  • Neoplasms, Multiple Primary*
  • Tomography, X-Ray Computed
  • Treatment Outcome