A Recurrence Biphasic Pulmonary Blastoma After Adjuvant Chemotherapy : A Case Report Of Rare Lung Malignancy

• Main Authors: Asmaa Lakhdissi, Ibrahim Elghissassi, Khadija Bellahammou, Salif Balde, Sarra Akla, Mustapha Azakhman, Fouad Zouaidia, Najat Mahassini, Fadoua Rais, Nourredine Benjaafer, Hind Mrabti, Hassan Errihani, Mila Kayryakova, Ivan Inkov
• Format: Article
• Language: English
• Published: Bulgarian Association of Young Surgeons 2017-10-01
• Series: International Journal of Surgery and Medicine
• Subjects: Pulmonary Blastoma; malignant lung tumor; poor prognosis
• Online Access: https://www.ejmanager.com/fulltextpdf.php?mno=239544

Pulmonary Blastoma is a rare malignant lung tumor. The Biphasic pulmonary blastoma is composed of a mixture of immature epithelial and mesenchymal tissue ressembling fetal lung tissue with poor prognosis . The surgery is the treatment of choice. The strategy of treatment remains unclear due to the rarity of this tumor. We report a case of 26 year old women presenting with biphasic pulmonary blastoma who was treated with surgery and 6 cycles of adjuvant chemotherapy Etoposide-Cisplatine. Before she underwent adjuvant radiotherapy due to the positive margins, she developed dyspnea and the CT scan showed a massive local recurrence tumor compressing the heart. The patient received a palliative radiotherapy in the chest at the dose of 20Gy followed by palliative chemotherapy based on Adriamycin and Ifosfamide.