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Cystic Pulmonary Metastasis in a Patient with Scalp Angiosarcoma: A Case Report  

Kim, Ah-Yeong (Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Lee, Kyung-Soo (Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Han, Joung-Ho (Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Kim, Ho-Joong (Division of Respiratory and Critical Care Medicine, Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Kim, Kwhan-Mien (Department of Thoracic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Baek, Chung-Hwan (Department of Otorhinolaryngology, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Publication Information
Journal of the Korean Society of Radiology / v.65, no.2, 2011 , pp. 143-146 More about this Journal
Abstract
It has been well known that angiosarcoma (AS), particularly scalp AS, metastasizes to the lungs with multiple air-filled cystic lesions on chest computed tomography scans. Pneumothorax, due to cystic lesion rupture into the pleural space, is frequent; however, we do not exactly know how rapidly the metastatic lesions spread to the lungs or what the exact pathogenetic mechanism for cystic metastasis is. According to our experience, the speed of disease progression in pulmonary metastasis is relatively fast and the entire lungs may be involved within two or three months. The infiltrating spindle cell tumors in the alveolar walls are tethering the adjacent alveolar spaces in order to form a dilated air-filled cystic lesion.
Keywords
Scalp; Hemangiosarcoma; Lung; Metastasis; Tomography, X-Ray Computed;
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