Vladimir Sabayev

Selected ReportsEndotracheal Myoepithelioma

Myoepitheliomas have been described most commonly in salivary glands and have been reported elsewhere but are rare in the lung, with only six previously reported cases. To our knowledge, this represents the first endotracheal myoepithelioma. These tumors have characteristic features that distinguish them from other tumors, and the diagnosis is a pathologic one, based on the morphology and supported by immunohistochemistry. Myoepitheliomas should be considered in the diagnosis of any pulmonary nodule.

Invasive Aspergillosis-Associated Pulmonary Artery Pseudoaneurysm: A Rare Cause of Hemoptysis in an HIV-Infected Patient

We report the case of a 43-year-old HIV-positive male who developed a pulmonary artery pseudoaneurysm as a complication of invasive aspergillosis. The patient was treated with amphotericin B with clinical improvement, and was discharged to a nursing home on voriconazole. He died of unrelated complications of his end-stage HIV 4 months later. Invasive pulmonary aspergillosis is a recognized complication in immunocompromised patients. Pulmonary artery pseudoaneurysm in the setting of invasive aspergillosis has not been described in patients with AIDS. Hemoptysis in these settings is usually a preterminal event. In our case, the management was conservative with clinical improvement.