Hemothorax Caused by Primary Pulmonary Angiosarcoma
DOI:
https://doi.org/10.17140/PRRMOJ-2-106Keywords:
Primary pulmonary angiosarcoma, Intrathoracic bleeding, HemothoraxAbstract
A previously healthy 57-year-old woman was admitted to the Emergency Department with hemothorax. She had continuously blood loss during the next 24 hours accordingly she went to the OR in order to achieve hemostasis. Intraoperative findings were multiple lesions in the lung parenchyma and diffuse bleeding from multiple small abnormal nodules on the surface of the visceral pleural and parietal pleura. Biopsies prompted the diagnosis of angiosarcoma and with the primary tumour burden in the lung parenchyma the pathologist diagnosed a primary pulmonary angiosarcoma. The disease was widespread at the time of diagnosis accordingly curative intended treatment was not an option and because of her general poor condition she died one day after discharge.
References
Patel AM, Ryu JH. Angiosarcoma in the lung. Chest. 1993; 103(5): 1531-1535. doi: 10.1378/chest.103.5.1531
Yang CF, Chen TW, Tseng GC, Chiang IP. Primary pulmonary epithelioid angiosarcoma presenting as a solitary pulmonary nodule on image. Pathology international. 2012; 62(6): 424- 428. doi: 10.1111/j.1440-1827.2012.02809.x
Sheppard MN, Hansell DM, Du Bois RM, Nicholson AG. Pri-mary epithelioid angiosarcoma of the lung presenting as pulmo-nary hemorrhage. Human pathology. 1997; 28(3): 383-385. doi: 10.1016/S0046-8177(97)90140-4
Chen YB, Guo LC, Yang L, et al. Angiosarcoma of the lung: 2 cases report and literature reviewed. Lung cancer (Am-Pulm Res Respir Med Open J sterdam, Netherlands). 2010; 70(3): 352-356. doi: 10.1016/j. lungcan.2010.09.002
Ozcelik C, Onat S, Yaldiz M, Ozcelik Z. Primary epithelioid angiosarcoma of the lung presenting as pulmonary hemorrhage. Asian cardiovascular & thoracic annals. 2006; 14(1): 69-71. doi: 10.1177/021849230601400118
Spragg RG, Wolf PL, Haghighi P, Abraham JL, Astarita RW. Angiosarcoma of the lung with fatal pulmonary hemorrhage. The American journal of medicine. 1983; 74(6): 1072-1076.
Yousem SA. Angiosarcoma presenting in the lung. Archives of pathology & laboratory medicine. 1986; 110(2): 112-115.
Espat NJ, Lewis JJ, Woodruff JM, et al. Confirmed an-giosarcoma: prognostic factors and outcome in 50 prospec-tively followed patients. Sarcoma. 2000; 4(4): 173-177. doi: 10.1080/13577140020025896
Lopez L, Iriberri M, Cancelo L, Gomez A, Uresandi F, Atx-otegui V. [Persistent hemoptysis secondary to extensive epi-thelioid angiosarcoma]. Archivos de bronconeumologia. 2004; 40(4): 188-190.
Weissferdt A, Moran CA. Primary vascular tumors of the lungs: a review. Annals of diagnostic pathology. 2010; 14(4): 296- 308. doi: http://dx.doi.org/10.1016/j.anndiagpath.2010.03.001
Junge K, Toens C, Peiper C, Hermanns B, Schumpelick V. [Primary angiosarcoma of the lung]. Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen. 2001; 72(8): 969-972. doi: 10.1007/s001040170098
Pandit SA, Fiedler PN, Westcott JL. Primary angiosarcoma of the lung. Annals of diagnostic pathology. 2005; 9(5): 302- 304. doi: 10.1016/j.anndiagpath.2005.04.001
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
All content published in Pulmonary Research and Respiratory Medicine (PRRM) is licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This license allows anyone to copy, distribute, transmit, and adapt the work — including for commercial purposes — provided appropriate credit is given to the original author(s) and source.