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Tracheal and bronchial metastases from gastric cancer

Imaging findings

Chest CT and bronchoscopy show rapid progression of multiple small endotracheal and endobronchial soft tissue nodules, including a prominent mass at the main carina, in a patient with metastatic gastric cancer.

Key takeaways

Endobronchial metastases from extrathoracic malignancies are uncommon, but can occur with tumors like gastric or colorectal cancer. They present as single or multiple airway nodules causing obstruction and hemoptysis, often requiring palliative laser ablation.

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