Gynecologic leiomyosarcoma are uncommon malignancies. Although pulmonary metastases are frequent complications, endobronchial metastases are rare. We report 1 case of gynecologic leiomyosarcoma with endobronchial metastases, along with a review of the topic and bronchoscopic image of this uncommon phenomenon. © 2007 Lippincott Williams & Wilkins, Inc.