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Eur J Cardiothorac Surg 2004;26:648
© 2004 Elsevier Science NL

Images in cardio-thoracic surgery

Synchronous foreign body and non-small cell carcinoma of the main bronchi

Yener Yoruk*, Osman Hatipoglu

Department of Thoracic Surgery, Medical Faculty, Trakya University, Edirne 22030, Turkey

Received 23 March 2004; received in revised form 13 May 2004; accepted 14 May 2004.

* Corresponding author. Address: Trakya Tip Fakultesi Gogus Cerrahisi AD., Edirne TR 22030, Turkey. Tel./fax: +90-284-2355-936
e-mail: yyoruk{at}trakya.edu.tr

Key Words: Bronchoscopy • Foreign body aspiration • Non-small cell cancer

A 59-year-old man was admitted with hemoptysis for 1 month. Chest X-ray and CT scan showed a foreign body (teeth) at right main bronchus and left central mass (Fig. 1a and b) , upon which we suspected lung carcinoma. Bridge prosthesis with three teeth at the orifice of the right main bronchus was removed (Fig. 2) and biopsy taken from the tumoral lesion at left main bronchus revealed epidermoid carcinoma.



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  		Fig. 1. (a) Chest X-ray shows foreign body at the right main bronchus and left upper lobe atelectasis. (b) CT scan reveals left central mass encompassing left main pulmonary artery (arrow head), and distal upper lobe atelectasis.

 


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  		Fig. 2. Broncoscopic view of the foreign body at the orifice of the right main bronchus.

 




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