Endotracheal and Endobronchial Metastases in a Patient With Stage I Lung Adenocarcinoma Zhirong Zhang, MD, Yousheng Mao, MD, Huang Chen, MD, Jingsi Dong,

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Endotracheal and Endobronchial Metastases in a Patient With Stage I Lung Adenocarcinoma Zhirong Zhang, MD, Yousheng Mao, MD, Huang Chen, MD, Jingsi Dong, MD, Longhai Yang, MD, Lei Zhang, MD, Fang Wang, MD The Annals of Thoracic Surgery Volume 97, Issue 5, Pages e135-e137 (May 2014) DOI: 10.1016/j.athoracsur.2013.09.064 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Contrast-enhanced computed tomographic scan showing a peripheral nodule less than 1 cm located in the upper lobe of the right lung (arrow). The Annals of Thoracic Surgery 2014 97, e135-e137DOI: (10.1016/j.athoracsur.2013.09.064) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A–C) The postoperative chest computed tomography (CT), 7 months after complete resection, demonstrated several irregular endotracheal nodules (arrows) approximately 0.2 to 0.8 cm in the tracheal compared with initial chest CT. The Annals of Thoracic Surgery 2014 97, e135-e137DOI: (10.1016/j.athoracsur.2013.09.064) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Bronchoscopy presenting multiple polypoid lesions located in (A) upper and lower trachea and the (B) left main bronchus. (C) Endotracheal and endobronchial metastases were confirmed (Hematoxylin-phloxine-saffron, ×400). The Annals of Thoracic Surgery 2014 97, e135-e137DOI: (10.1016/j.athoracsur.2013.09.064) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions