ENDOBRONCHIAL SPREAD OF BRONCHIOLOALVEOLAR CARCINOMA

Bronchioloalveolar cell carcinoma is known to have several presentations. We present a case of a patient with a solitary nodule in the upper lobe who had an episode of hemoptysis one week prior to lobectomy. Blood clots were removed from the lower lobe bronchus at surgery. Seven months later, the patient was documented to have recurrence in the lower lobe with computed tomographic scan and pathologic findings consistent with endobronchial spread of tumor.