Korean J Thorac Cardiovasc Surg.  2010 Apr;43(2):228-231.

Pneumothorax due to Metastasis of Angiosarcoma to the Lung

Affiliations
  • 1 Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Korea. hcpaik@yuhs.ac
  • 2Department of Pathology, Gangnam Severance Hospital, Yonsei University College of Medicine, Korea.

Abstract

An 80 year-old male with a medical history of angiosarcoma of the scalp visited the Emergency Department complaining of dyspnea, and the chest X-ray revealed pneumothorax. He has undergone scalp resection and radiotherapy three years ago due to angiosarcoma. Due to a persistent air leak, he underwent wedge resection of the lung and was pathologically diagnosed with metastatic angiosarcoma to the lung. He underwent radiotherapy following the lung resection, but he died from his disease at 15 month following surgery due to further aggravation of the lung metastasis. Angiosarcoma is a highly malignant tumor and it frequently occurs on the scalp and face in elderly patients. Angiosarcoma frequently metastasizes to the lung and it may cause pneumothorax as a consequence of a ruptured cavitary lesion. We report here on a case of pneumothorax that was caused by lung metastasis in an elderly patient with a history of angiosarcoma of the scalp.

Keyword

Pneumothorax; Metastasectomy

MeSH Terms

Aged
Dyspnea
Emergencies
Hemangiosarcoma
Humans
Lung
Male
Metastasectomy
Neoplasm Metastasis
Pneumothorax
Scalp
Thorax
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