XXXX : a case report.

@entity1 @entity825 @entity175 @entity242 @entity1353 @entity5 @entity39 @entity787 @entity281 @entity8426 @entity3147 @entity1282 @entity5651 @entity259
@entity8426 is a very uncommon @entity5 (<1% of @entity259 ) characterized by severe local course and rapid metastatic dissemination and very poor prognosis. We report the case of an 84-year-old @entity1 hospitalized for expiratory @entity1353 , severe @entity3147 and @entity1282 leading to @entity281 . She had a voluminous (20 cm) extra-thoracic @entity5651 with a considerable superficial venous pattern that had developed on an old @entity5651 before growing recently. @entity787 and @entity175 levels were normal. The cervical-thoracic CT demonstrated a partially necrosed heterogeneously hypodense @entity5 compressing the esophagus and the @entity825 with displacement of adjacent structures which were not directly invaded. Large areas of @entity39 and a probable metastatic image measuring 3 cm in the right median pulmonary lobe were observed. Macrobiopsy disclosed grade 3 @entity242 . Complete resection delivered a 3.170 kg @entity5 . Histology confirmed the diagnosis of @entity242 without neoplastic extension. Apart from right recurrent palsy, the initial post-operative period was satisfactory and the @entity1 was discharged. Four and a half months later she was rehospitalized with local recurrence with a large metastatis in the right lung. She died two weeks later.
