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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;
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