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Journal of Case Reports
Pulmonary Sarcomatoid Carcinoma: A Rare Presentation with Fatal Outcome in a Young Male
Ankur Krishna1, Pooja Kadam2
Prince of Wales Hospital Network Barker St1, Randwick, NSW 2031, Australia; Albany Medical Center2, Albany 47 New Scotland Ave, Albany, NY 12208, USA.
Corresponding Author:
Dr. Ankur Krishna
Email: ankurkrishna@hotmail.com
Received: 03-JAN-2014 Accepted: 14-JAN-2014 Published Online: 25-JAN-2014
DOI: http://dx.doi.org/10.17659/01.2014.0010
Abstract
A 36 year old Caucasian male presented to the Emergency Department with right shoulder pain and associated right upper extremity weakness, increasing confusion, weight loss and night sweats. Chest X-ray revealed a pancoast tumor involving upper lobe of right lung with rib erosions. CT guided biopsy of the tumor was performed and histopathological analysis of the specimen showed a poorly differentiated carcinoma with sarcomatoid features. Further staging demonstrated invasion of the tumor into the brachial plexus and multiple metastasis to the brain, cervical and thoracic spine. The patient was commenced on levetiracetam and dexamethasone. He also received multiple cycles of palliative whole brain and lung radiation therapy. Unfortunately the patient died within three weeks of his initial diagnosis.
Keywords : Shoulder pain, Ribs, Pancoast syndrome, Neoplasms Radiation.
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