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(Chest. 1974;65:415-419.)
© 1974 American College of Chest Physicians

Varied Presentations of Metastatic Pulmonary Melanoma

Frank D. Sutton Jr. M.D.1; Robert E. Vestal M.D.1; and C. Edward Creagh M.D.1

1 Department of Medicine and the Division of Pulmonary Medicine, University of Colorado Medical Center, Denver

Four cases of malignant melanoma metastatic to the bronchopulmonary tree demonstrate the wide array of clinical, chest x-ray film and bronchoscopic findings seen in this entity. The clinical presentations described include wheezing, hemoptysis with severe dyspnea, an asymptomatic state, and a generalized systemic illness, with chest pain, fever and respiratory failure. The respective chest x-ray findings are atelectasis of a single lobe, atelectasis of an entire lung, multiple discrete parenchymal nodules and a fine miliary pattern. Bronchoscopic examination in three of the four cases also emphasizes the great variability of this disease in that one patient had amelanotic endobronchial lesions, a second had a darkly pigmented endobronchial tumor and the third had the striking finding of diffuse melanosis of the airways.

Submitted on July 17, 1974
Accepted on November 20, 1974




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W. F. Kelly, E. A. Crawley, D. J. Vick, and K. M. Hurwitz
Spontaneous Partial Expectoration of an Endobronchial Carcinoid
Chest, February 1, 1999; 115(2): 595 - 598.
[Abstract] [Full Text] [PDF]


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Copyright © 1974 by the American College of Chest Physicians.