Browse > Article

A Case of Pneumothorax Caused by Cystic Lung Metastasis of Angiosarcoma  

Lee, Chan Joo (Department of Internal Medicine, Yonsei University College of Medicine)
Choi, Jun Jeong (Department of Patholgy, Yonsei University College of Medicine)
Jeon, Han Ho (Department of Internal Medicine, Yonsei University College of Medicine)
Jung, Kyung Soo (Department of Internal Medicine, Yonsei University College of Medicine)
Park, Byung Hoon (Department of Internal Medicine, Yonsei University College of Medicine)
Park, Seon Cheol (Department of Internal Medicine, Yonsei University College of Medicine)
Shin, Sang Yun (Department of Internal Medicine, Yonsei University College of Medicine)
Chung, Wou Young (Department of Internal Medicine, Yonsei University College of Medicine)
Byun, Min Kwang (Department of Internal Medicine, Yonsei University College of Medicine)
Moon, Ji Ae (Department of Internal Medicine, Yonsei University College of Medicine)
Kim, Young Sam (Department of Internal Medicine, Yonsei University College of Medicine)
Kim, Se Kyu (Department of Internal Medicine, Yonsei University College of Medicine)
Chang, Joon (Department of Internal Medicine, Yonsei University College of Medicine)
Kim, Sung Kyu (Department of Internal Medicine, Yonsei University College of Medicine)
Park, Moo Suk (Department of Internal Medicine, Yonsei University College of Medicine)
Publication Information
Tuberculosis and Respiratory Diseases / v.64, no.5, 2008 , pp. 374-378 More about this Journal
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 the form 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;
Citations & Related Records

Times Cited By SCOPUS : 0
연도 인용수 순위
  • Reference
1 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   DOI   ScienceOn
2 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   DOI   ScienceOn
3 Holden CA, Spittle MF, Jones EW. Angiosarcoma of the face and scalp, prognosis and treatment. Cancer 1987; 59:1046-57   DOI   ScienceOn
4 Budd GT. Management of angiosarcoma. Curr Oncol Rep 2002;4:515-9   DOI   ScienceOn
5 Mendenhall WM, Mendenhall CM, Werning JW, Reith JD, Mendenhall NP. Cutanoues angiosarcoma. Am J Clin Oncol 2006;29:524-8   DOI   ScienceOn
6 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   DOI   ScienceOn
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   DOI
8 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   DOI
9 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   DOI   ScienceOn
10 Orchard GE, Zelger B, Jones EW, Jones RR. An immunocytochemical assessment of 19 cases of cutaneous angiosarcoma. Histopathology 1996;28:235-40   DOI