open access

Vol 84, No 5 (2016)
CASE REPORTS
Submitted: 2016-09-27
Accepted: 2016-09-27
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Hemoptysis in a patient with multifocal primary pulmonary angiosarcoma

Aleksandra Piechuta, Tadeusz Przybyłowski, Małgorzata Szołkowska, Rafał Krenke
DOI: 10.5603/PiAP.2016.0036
·
Pneumonol Alergol Pol 2016;84(5):283-289.

open access

Vol 84, No 5 (2016)
CASE REPORTS
Submitted: 2016-09-27
Accepted: 2016-09-27

Abstract

Primary pulmonary angiosarcoma (PPA) is a rare tumour arising from arterial or venous pulmonary vessels of various size. It is characterized by aggressive course and poor prognosis. The early diagnosis is difficult due to diverse clinical and radiological manifestations. We present a case report of 70 year-old man, active cigarette-smoker, with a 2-month history of non-massive hemoptysis. The thorax CT revealed several solid pulmonary nodules surrounded by areas of ground glass opacity. As bronchoscopy failed to deliver adequate tissue samples, video assisted thoracic surgery (VATS) with pleura and lung biopsy was necessary. Histopathological findings were consistent with pulmonary angiosarcoma. Since no extrapulmonary lesions were demonstrated, the final diagnosis of primary pulmonary angiosarcoma was made. The patient died three months after the onset of symptoms. Our case report highlights that differential diagnosis in patients with hemoptysis and pulmonary nodules should include primary pulmonary sarcoma.

Abstract

Primary pulmonary angiosarcoma (PPA) is a rare tumour arising from arterial or venous pulmonary vessels of various size. It is characterized by aggressive course and poor prognosis. The early diagnosis is difficult due to diverse clinical and radiological manifestations. We present a case report of 70 year-old man, active cigarette-smoker, with a 2-month history of non-massive hemoptysis. The thorax CT revealed several solid pulmonary nodules surrounded by areas of ground glass opacity. As bronchoscopy failed to deliver adequate tissue samples, video assisted thoracic surgery (VATS) with pleura and lung biopsy was necessary. Histopathological findings were consistent with pulmonary angiosarcoma. Since no extrapulmonary lesions were demonstrated, the final diagnosis of primary pulmonary angiosarcoma was made. The patient died three months after the onset of symptoms. Our case report highlights that differential diagnosis in patients with hemoptysis and pulmonary nodules should include primary pulmonary sarcoma.

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Keywords

angiosarcoma, primary pulmonary angiosarcoma, hemoptysis, spontaneous hemothorax, lung tumor

About this article
Title

Hemoptysis in a patient with multifocal primary pulmonary angiosarcoma

Journal

Advances in Respiratory Medicine

Issue

Vol 84, No 5 (2016)

Pages

283-289

DOI

10.5603/PiAP.2016.0036

Bibliographic record

Pneumonol Alergol Pol 2016;84(5):283-289.

Keywords

angiosarcoma
primary pulmonary angiosarcoma
hemoptysis
spontaneous hemothorax
lung tumor

Authors

Aleksandra Piechuta
Tadeusz Przybyłowski
Małgorzata Szołkowska
Rafał Krenke

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