Endobronchial pulmonary blastoma – an unusual presentation of a rare lung malignancy and review of literature
Biphasic pulmonary blastoma (BPB) is an extremely rare highly aggressive malignant tumor that arises from fetal lung tissue and has the classical biphasic histology of epithelial and mesenchymal components. It is usually seen in adults with a slight male predominance and smokers. Previously grouped...
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doaj-31b5e67b1d724f4ca4d246abc54cc8fc2020-11-25T03:28:18ZengPAGEPress PublicationsMonaldi Archives for Chest Disease1122-06432532-52642020-07-0190310.4081/monaldi.2020.1462Endobronchial pulmonary blastoma – an unusual presentation of a rare lung malignancy and review of literatureBenhur Joel Shadrach0Deepak Vedant1Vikarn Vishwajeet2Priyank Jain3Naveen Dutt4Binit Surekha5Puneet Pareek6Poonam Abhay Elhence7Department of Pulmonary Medicine, All India Institute of Medical Sciences, JodhpurDepartment of Pathology, All India Institute of Medical Sciences, Jodhpur Department of Pathology, All India Institute of Medical Sciences, Jodhpur Department of Pulmonary Medicine, All India Institute of Medical Sciences, JodhpurDepartment of Pulmonary Medicine, All India Institute of Medical Sciences, JodhpurDepartment of Radiodiagnosis, All India Institute of Medical Sciences, JodhpurDepartment of Radiation Oncology, All India Institute of Medical Sciences, JodhpurDepartment of Pathology, All India Institute of Medical Sciences, Jodhpur Biphasic pulmonary blastoma (BPB) is an extremely rare highly aggressive malignant tumor that arises from fetal lung tissue and has the classical biphasic histology of epithelial and mesenchymal components. It is usually seen in adults with a slight male predominance and smokers. Previously grouped along with well-differentiated fetal adenocarcinoma (WDFA), and pleuropulmonary blastoma (PPB), now it is considered a separate variant and grouped under sarcomatoid neoplasms. Symptoms include chest pain, cough, hemoptysis and it is asymptomatic in at least one-third of the cases. A biopsy is essential for diagnosis and surgical excision is the treatment of choice. Prognosis is poor with 5-year survival less than 20% and recurrence occurring within 12 months of surgery. An aggressive multimodality approach is required for its management and active follow up surveillance is needed to look for recurrence. https://monaldi-archives.org/index.php/macd/article/view/1462Pulmonary blastomaendobronchialhistologyprognosis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Benhur Joel Shadrach Deepak Vedant Vikarn Vishwajeet Priyank Jain Naveen Dutt Binit Surekha Puneet Pareek Poonam Abhay Elhence |
spellingShingle |
Benhur Joel Shadrach Deepak Vedant Vikarn Vishwajeet Priyank Jain Naveen Dutt Binit Surekha Puneet Pareek Poonam Abhay Elhence Endobronchial pulmonary blastoma – an unusual presentation of a rare lung malignancy and review of literature Monaldi Archives for Chest Disease Pulmonary blastoma endobronchial histology prognosis |
author_facet |
Benhur Joel Shadrach Deepak Vedant Vikarn Vishwajeet Priyank Jain Naveen Dutt Binit Surekha Puneet Pareek Poonam Abhay Elhence |
author_sort |
Benhur Joel Shadrach |
title |
Endobronchial pulmonary blastoma – an unusual presentation of a rare lung malignancy and review of literature |
title_short |
Endobronchial pulmonary blastoma – an unusual presentation of a rare lung malignancy and review of literature |
title_full |
Endobronchial pulmonary blastoma – an unusual presentation of a rare lung malignancy and review of literature |
title_fullStr |
Endobronchial pulmonary blastoma – an unusual presentation of a rare lung malignancy and review of literature |
title_full_unstemmed |
Endobronchial pulmonary blastoma – an unusual presentation of a rare lung malignancy and review of literature |
title_sort |
endobronchial pulmonary blastoma – an unusual presentation of a rare lung malignancy and review of literature |
publisher |
PAGEPress Publications |
series |
Monaldi Archives for Chest Disease |
issn |
1122-0643 2532-5264 |
publishDate |
2020-07-01 |
description |
Biphasic pulmonary blastoma (BPB) is an extremely rare highly aggressive malignant tumor that arises from fetal lung tissue and has the classical biphasic histology of epithelial and mesenchymal components. It is usually seen in adults with a slight male predominance and smokers. Previously grouped along with well-differentiated fetal adenocarcinoma (WDFA), and pleuropulmonary blastoma (PPB), now it is considered a separate variant and grouped under sarcomatoid neoplasms. Symptoms include chest pain, cough, hemoptysis and it is asymptomatic in at least one-third of the cases. A biopsy is essential for diagnosis and surgical excision is the treatment of choice. Prognosis is poor with 5-year survival less than 20% and recurrence occurring within 12 months of surgery. An aggressive multimodality approach is required for its management and active follow up surveillance is needed to look for recurrence.
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topic |
Pulmonary blastoma endobronchial histology prognosis |
url |
https://monaldi-archives.org/index.php/macd/article/view/1462 |
work_keys_str_mv |
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