Primary epithelial myoepithelial carcinoma of lung is a rare entity and is thought to arise from the submucosal bronchial glands distributed throughout the lower respiratory tract. Because of the rarity of this tumor, we describe one case of epithelial myoepithelial carcinoma arising in the bronchus intermedius and presenting as an endobronchial mass. A 57-year-old male patient presented with an incidental finding of an endobronchial mass located in the lumen of the right lower lobe bronchus and caused near total luminal occlusion of the bronchus. An endobronchial carcinoid tumor was entertained clinically. Subsequently the patient underwent an uneventful videothoracoscopic lobectomy of lower and middle lobes of the right lung. Morphologically and immunohistochemically the tumor was characterized by two cell populations with epithelial and myoepithelial cells forming duct-like structure. The final diagnosis of epithelial myoepithelial carcinoma of lung was rendered.
57-YEAR-OLD MAN PRESENTED WITH ANTErior chest wall swelling 4 months after a video-assisted thoracic surgery wedge resection of a 2.5-cm benign mass in the right upper lobe. The swelling was associated with mild chest discomfort that worsened with coughing. Physical examination revealed soft, non-tender swelling that was well demarcated on the right anterior chest wall in the anterior axillary line and was associated with a cough impulse (Figure 1).
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