PMC6695272_01
Computerized tomography (CT) scan of the chest 6 months before presenting with hemoptysis. Axial (A) and sagittal (B) views shows multiple pulmonary nodules and masses of different size compatible with pulmonary metastases.
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Six months later, the patient developed multiple pulmonary metastases (see Fig. 1), treated with 6 cycles of chemotherapy (Adriamycin) with partial response.
Bronchoscopic view from the right main stem bronchus showing a smooth, reddish and high-vascularized mass located in the anterior segmental bronchus of the right upper lobe (RB3). Total occlusion of the corresponding segmental bronchus and fresh bleeding are present.
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Flexible bronchoscopy revealed fresh bleeding from a smooth, reddish and high-vascularized mass located in the anterior segmental bronchus of the right upper lobe (RB3) (see Fig. 2).
Computerized tomography (CT) scan of the chest during the bleeding episode. Axial (A) and sagittal (B) views shows enlargement of the multiple pulmonary metastases, with invasion of the bronchial lumen by one mass located in the right upper lobe.
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Computerized tomography (CT) of the chest at this time showed enlargement of the multiple pulmonary metastases, with one mass in the right upper lobe invading the bronchial lumen (see Fig. 3).