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Merve Ekinci



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    P3.CR - Case Reports (Not CME Accredited Session) (ID 984)

    • Event: WCLC 2018
    • Type: Poster Viewing in the Exhibit Hall
    • Track:
    • Presentations: 1
    • Moderators:
    • Coordinates: 9/26/2018, 12:00 - 13:30, Exhibit Hall
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      P3.CR-28 - Simultaneous Presentation of Mediastinal Malignant Peripheral Nerve Sheath Tumor with Intrapulmonary Metastasis, an Extremely Rare Case  (ID 14013)

      12:00 - 13:30  |  Author(s): Merve Ekinci

      • Abstract
      • Slides

      Background

      Malignant peripheral nerve sheath tumors (MPNST) are sarcomas originating from the cells constituting the nerve sheaths and occupy 5-10% of all soft tissue sarcomas. MPNSTs may occur in any peripheral nerve. They are often found in the chest wall and the posterior mediastinum. Their simultaneous existence with intrapulmonary metastasis is not commonly seen.

      a9ded1e5ce5d75814730bb4caaf49419 Method

      In this report, we present a rare patient with Simultaneous presentation MPNST located in the right posterior mediastinum and having contralateral Lung metastasis both treated with minimally invasive surgery.

      4c3880bb027f159e801041b1021e88e8 Result

      Clinical summary: A 57-year-old woman had no history of smoking had respiratory symptoms sputum and dyspnea. Chest computed tomography revealed a posterior mediastinal solid mass of 55mm on the right hemi thorax also a 33mm solid mass lesion located on the left upper lobe. She first underwent video assisted thoracoscopic surgery (VATS) resection of the lesion on the right. The histopathological examination revealed malignant peripheral nerve sheath tumor (MPNST). Just after the first intervention she underwent left VATS lingual sparing upper lobectomy . The histopathological examination revealed the lesion as intrapulmonary metastasis of the previous MPNST. Patient did not have any problem related with surgery and discharged quickly in both surgeries. She had a chemotheraphy afterwards.

      8eea62084ca7e541d918e823422bd82e Conclusion

      Simultaneous presentation of MPNST with lung metastasis are extremely rare clinical cases with very poor prognosis. Our patient is doing well on the 11th months after resection. This may be a good example of the synergic effect of surgery with chemotherapy with successful outcomes.

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