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Simultaneous Bilateral Spontaneous Pneumothorax Secondary to Metastatic Angiosarcoma of the Scalp: Report of a Case

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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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Authors and Affiliations

  1. Departments of Surgery, Yamanashi Prefectural Central Hospital, 1-1-1 Fujimi, Kofu, Yamanashi, 400-0027, Japan

    Hiroyuki Sakurai, Masao Hada & Itsuki Ashizawa

  2. Departments of Internal Medicine, Yamanashi Prefectural Central Hospital, 1-1-1 Fujimi, Kofu, Yamanashi, 400-0027, Japan

    Yoshihiro Miyashita

  3. Departments of Dermatology, Yamanashi Prefectural Central Hospital, 1-1-1 Fujimi, Kofu, Yamanashi, 400-0027, Japan

    Katsuhiko Tsukamoto

  4. Departments of Pathology, Yamanashi Prefectural Central Hospital, 1-1-1 Fujimi, Kofu, Yamanashi, 400-0027, Japan

    Toshio Oyama

Authors
  1. Hiroyuki Sakurai
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  2. Masao Hada
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  3. Yoshihiro Miyashita
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  4. Katsuhiko Tsukamoto
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  5. Toshio Oyama
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  6. Itsuki Ashizawa
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Sakurai, H., Hada, M., Miyashita, Y. et al. Simultaneous Bilateral Spontaneous Pneumothorax Secondary to Metastatic Angiosarcoma of the Scalp: Report of a Case. Surg Today 36, 919–922 (2006). https://doi.org/10.1007/s00595-006-3267-9

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  • DOI: https://doi.org/10.1007/s00595-006-3267-9

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