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KMID : 0383820080640050374
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Tuberculosis and Respiratory Diseases
2008 Volume.64 No. 5 p.374 ~ p.378
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A Case of Pneumothorax Caused by Cystic Lung Metastasis of Angiosarcoma
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Lee Chan-Joo
Choi Jun-Jeong
Jeon Han-Ho
Jung Kyung-Soo
Park Byung-Hoon
Park Seon-Cheol
Shin Sang-Yun
Chung Woo-Young
Byun Min-Kwang
Moon Ji-Ae
Kim Young-Sam
Kim Se-Kyu
Chang Joon
Kim Sung-Kyu
Park Moo-Suk
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Abstract
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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. (Tuberc Respir Dis 2008;64:374-378)
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KEYWORD
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Angiosarcoma, Cyst, Lung metastasis, Pneumothorax
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