바로가기메뉴

본문 바로가기 주메뉴 바로가기

Tuberculosis & Respiratory Diseases

Article Contents

Prev Next
e-Submission

Vol.64 No.5
Citation Share

A Case of Pneumothorax Caused by Cystic Lung Metastasis of Angiosarcoma

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2008, v.64 no.5, pp.374-378















& (2008). A Case of Pneumothorax Caused by Cystic Lung Metastasis of Angiosarcoma. Tuberculosis & Respiratory Diseases, 64(5), 374-378.
  • Downloaded
  • Viewed
PDF Download

Abstract

Angiosarcoma is a rare but highly malignant tumorthat usually arises in the scalp or face of elderly males. Distant metastases favor the lung, liver, lymph nodes and skin. Metastatic pulmonary angiosarcoma commonly takes theform of a nodule but can sometimes appear as a thin-walled cyst. We report a case of 65 years-old male with a spontaneous pneumothorax, who underwent excision and radiotherapy for an angiosarcoma of the scalp 2 years ago. A chest CT scan revealed multiple cysts in the lung. The video-assisted thoracoscopic lung biopsy demonstrated subpleural cysts without tumor cells. A skin biopsy of the scalp showed an angiosarcoma. This case was diagnosed as a recurrence of an angiosarcoma with a supposed lung metastasis. This case suggests that a spontaneous pneumothorax in elderly people may be secondary to a pulmonary metastasis from an angiosarcoma of the scalp.

keywords
Angiosarcoma, Cyst, Lung metastasis, Pneumothorax

Reference

1.

1. Orchard GE, Zelger B, Jones EW, Jones RR. An im immunocytochemical assessment of 19 cases of cutaneous angiosarcoma. Histopathology 1996;28:235-40.

2.

2. Mendenhall WM, Mendenhall CM, Werning JW, Reith JD, Mendenhall NP. Cutanoues angiosarcoma. Am J Clin Oncol 2006;29:524-8.

3.

3. Holden CA, Spittle MF, Jones EW. Angiosarcoma of the face and scalp, prognosis and treatment. Cancer 1987;59:1046-57.

4.

4. Mark RJ, Tran LM, Sercarz J, Fu YS, Calcaterra TC,Juillard GF. Angiosarcoma of the head and neck. The UCLA experience 1955 through 1990. Arch Otolaryngol Head Neck Surg 1993;119:973-8.

5.

5. Kitagawa M, Tanaka I, Takemura T, Matsubara O,Kasuga T. Angiosarcoma of the scalp: report of two cases with fatal pulmonary complications and a review of Japanese autopsy registry data. Virchows Arch A Pathol Anat Histopathol 1987;412:83-7.

6.

6. Tateishi U, Hasegawa T, Kusumoto M, Yamazaki N,Iinuma G, Muramatsu Y, et al. Metastatic angiosarcoma of the lung: spectrum of CT findings. AJR Am J Roentgenol 2003;180:1671-4.

7.

7. Sakurai H, Hada M, Miyashita Y, Tsukamoto K, Oyama T, Ashizawa I. Simultaneous bilateral spontaneous pneumothorax secondary to metastatic angiosarcoma of the scalp: report of a case. Surg Today 2006;36:919-22.

8.

8. Pawlik TM, Paulino AF, McGinn CJ, Baker LH, Cohen DS, Morris JS, et al. Cutaneous angiosarcoma of the scalp: a multidisciplinary approach. Cancer 2003;98:1716-26.

9.

9. Fata F, O'Reilly E, Ilson D, Pfister D, Leffel D, Kelsen DP, et al. Paclitaxel in the treatment of patients with angiosarcoma of the scalp or face. Cancer 1999;86:2034-7.

10.

10. Budd GT. Management of angiosarcoma. Curr Oncol Rep 2002;4:515-9.

Tuberculosis & Respiratory Diseases

e-Submission OA Policy