Simultaneous Bilateral Spontaneous Pneumothorax Secondary to Metastatic Angiosarcoma of the Scalp: Report of a Case |
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| Authors: | Hiroyuki Sakurai Masao Hada Yoshihiro Miyashita Katsuhiko Tsukamoto Toshio Oyama Itsuki Ashizawa |
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| Affiliation: | (1) Departments of Surgery, Yamanashi Prefectural Central Hospital, 1-1-1 Fujimi, Kofu Yamanashi, 400-0027, Japan;(2) Departments of Internal Medicine, Yamanashi Prefectural Central Hospital, 1-1-1 Fujimi, Kofu Yamanashi, 400-0027, Japan;(3) Departments of Dermatology, Yamanashi Prefectural Central Hospital, 1-1-1 Fujimi, Kofu Yamanashi, 400-0027, Japan;(4) Departments of Pathology, Yamanashi Prefectural Central Hospital, 1-1-1 Fujimi, Kofu Yamanashi, 400-0027, Japan |
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| Abstract: | Angiosarcoma is a highly malignant neoplasm, which most often develops on the scalp or face of elderly people. Common distant metastatic sites include the lung, liver, lymph nodes, and skin. We report a case of angiosarcoma manifesting as simultaneous bilateral spontaneous pneumothorax secondary to pulmonary metastases in an 86-year-old man. The pneumothorax preceded the diagnosis of angiosarcoma. Chest computed tomography showed multiple thin-walled cavitary metastatic pulmonary lesions, which increased in size as new lesions appeared over the clinical course of several months. This case suggests that a finding of simultaneous bilateral spontaneous pneumothorax may indicate a serious parenchymal lung disorder. |
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| Keywords: | Pneumothorax Pulmonary metastasis Angiosarcoma |
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