Extensive endobronchial growth of metastatic hepatocellular carcinoma resulting in respiratory failure: A case report

Uchida, Rie; Masugi, Yohei; Nishizawa, Toshihiro; Kimura, Tokuhiro; Yamada, Taketo

doi:10.1016/j.prp.2009.03.001

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…The typical FDG PET/CT finding of endobronchial metastasis is a focal hypermetabolic endobronchial lesion with or without obstructive atelectasis 10–14 . Endobronchial metastasis may rarely grow extensively in the bronchial lumen and produce a gloved finger sign mimicking mucous plug on CT, 9 as seen in the present case. This case indicates that the hypermetabolic gloved finger sign may be helpful for distinguishing between malignant endobronchial conditions and mucoid impaction caused by nonmalignant conditions 15,16 …”

supporting

confidence: 55%

“…The most common primary tumors in patients with endobronchial metastases are the breast, renal, and colorectal cancers 7 . Endobronchial metastases from hepatocellular carcinoma are exceedingly rare 7–11 . The typical FDG PET/CT finding of endobronchial metastasis is a focal hypermetabolic endobronchial lesion with or without obstructive atelectasis 10–14 .…”

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confidence: 99%

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Hot Gloved Finger Sign in Endobronchial Metastasis From Hepatocellular Carcinoma on FDG PET/CT

2022

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Endobronchial metastasis from hepatocellular carcinoma is exceedingly rare. We describe FDG PET/CT findings in a case with isolated endobronchial metastasis from hepatocellular carcinoma 13 years after hepatectomy. The endobronchial metastasis appeared as hypermetabolic branching tubular opacities, producing a hot gloved finger sign on FDG PET/CT. This case indicates that the hot gloved finger sign may be suggestive of extensive endobronchial growing of a malignant condition but not endobronchial mucoid plug.

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supporting

confidence: 55%

mentioning

confidence: 99%

Hot Gloved Finger Sign in Endobronchial Metastasis From Hepatocellular Carcinoma on FDG PET/CT

2022

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“…Several etiologies may cause endotracheal or endobronchial masses with airway obstruction, including both malignant and nonmalignant diseases, such as granulation tissues, webs, or pseudotumors [20]. Several case reports have reported endobronchial or endotracheal lesions that induce acute respiratory failure, including lymphoma [21,22], metastatic hepatocellular carcinoma [23], or small-cell lung cancer [24]. However, no study has explored the relationship between endotracheal or endobronchial masses with chronic respiratory failure or ventilator dependence.…”

Section: Discussionmentioning

confidence: 99%

Bronchoscopy Findings during Percutaneous Dilation Tracheostomy: A Single Tertiary Medical Center Experience

Chang

Fang

2023

Diagnostics

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Percutaneous dilation tracheostomy (PDT) is a common procedure in intensive care units. Bronchoscopy has been recommended to guide PDT to decrease complication rates, but no study has analyzed bronchoscopy outcomes during PDT. In this retrospective study, we analyzed bronchoscopy findings and clinical outcomes during PDT. We collected data on all patients who underwent PDT between May 2018 and February 2021. All PDT operations were guided by bronchoscopy, and we assessed the airway to the third order of the bronchi. Forty-one patients who underwent PDT were included in this study. The average duration of PDT was 102.8 ± 34.6 s, and the average duration of bronchoscopy was 49.8 ± 43.8 s. No complications related to bronchoscopy and no significant changes in gas exchange or ventilator parameters were noted after the procedure. Fifteen patients (36.6%) exhibited abnormal bronchoscopy findings, including two patients (13.3%) with intra-airway mass lesions and obvious airway obstruction. None of the patients with intra-airway masses could be liberated from mechanical ventilation. This study observed a non-negligibly high incidence of unexpected endotracheal or endobronchial masses in patients with chronic respiratory failure during PDT, and a high rate of weaning failure was noted in these patients. The completion of bronchoscopy during PDT may provide additional clinical benefits.

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Bilateral endobronchial metastases from hepatocellular carcinoma (HCC): A case report with literature review

Koay

Lee

et al. 2023

Respirology Case Reports

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Extensive endobronchial growth of metastatic hepatocellular carcinoma resulting in respiratory failure: A case report

Cited by 4 publications

References 7 publications

Hot Gloved Finger Sign in Endobronchial Metastasis From Hepatocellular Carcinoma on FDG PET/CT

Hot Gloved Finger Sign in Endobronchial Metastasis From Hepatocellular Carcinoma on FDG PET/CT

Bronchoscopy Findings during Percutaneous Dilation Tracheostomy: A Single Tertiary Medical Center Experience

Bilateral endobronchial metastases from hepatocellular carcinoma (HCC): A case report with literature review

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