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Angiosarcoma with Pulmonary Metastasis Presenting with Spontaneous Bilateral Pneumothorax in an Elderly Man
- Source :
- Journal of the Formosan Medical Association, Vol 105, Iss 3, Pp 238-241 (2006)
- Publication Year :
- 2006
- Publisher :
- Elsevier, 2006.
-
Abstract
- Cutaneous angiosarcoma is a rare and invasive endothelial-derived sarcoma that occurs most frequently in the scalp and facial skin of elderly men. It is frequently accompanied by thin-walled cavitary pulmonary metastasis, and is often obscure on chest radiograph. We report a case of angiosarcoma of the scalp with cystic metastasis to the lung in a 63-year-old man, presenting as recurrent bilateral spontaneous pneumothorax. Lung metastasis was missed at the first episode of pneumothorax because the lung-expanded chest radiograph showed no significant abnormality. Two months later, bilateral pneumothorax recurred, and high-resolution computed tomography revealed multiple cystic, cavitary and nodular lesions. Pulmonary metastasis was confirmed by video-assisted thoracoscopic surgery, and pleurodesis was performed. After the operation, the patient received chemotherapy; no recurrence of pneumothorax was found during 6 months of follow-up. Pneumothorax in the elderly should be differentiated from malignant metastatic lung tumors.
- Subjects :
- angiosarcoma
cystic lung metastasis
pneumothorax
Medicine (General)
R5-920
Subjects
Details
- Language :
- English
- ISSN :
- 09296646
- Volume :
- 105
- Issue :
- 3
- Database :
- Directory of Open Access Journals
- Journal :
- Journal of the Formosan Medical Association
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.3da22a2ca8bb42a389280cef771cbd0c
- Document Type :
- article
- Full Text :
- https://doi.org/10.1016/S0929-6646(09)60312-0