Nakamura Masaru, Tsushima Kenji, Yasuo Masanori, Yamazaki Yoshitaka, Honda Takayuki, Koizumi Tomonobu, Fujimoto Keisaku, Kubo Keishi
First Department of Internal Medicine, Shinshu University School of Medicine, Asahi Matsumoto.
Intern Med. 2006;45(15):923-6. doi: 10.2169/internalmedicine.45.1596. Epub 2006 Sep 1.
A 73-year-old man with fever, lumbago and hemosputum showed ground-glass opacity around multiple lung nodules on chest computed tomography. Examination of the man revealed anemia. Specimens obtained by video-assisted thoracic surgery revealed angiosarcoma, but the primary site of angiosarcoma could not be detected before autopsy. Angiosarcoma is a rare malignant neoplasm with rapid proliferation and they can arise at any region of the body. It can originate in the skin, soft tissue, liver or heart. Their multicentric and local recurrence easily leads us to misdiagnosis, and we have struggled to reach diagnosis and its origin. Angiosarcoma should be included in the different diagnosis of diffuse pulmonary hemorrhage with multiple lung nodules.
一名73岁男性，有发热、腰痛和咯血症状，胸部计算机断层扫描显示多个肺结节周围有磨玻璃样混浊。对该男子的检查发现有贫血。通过电视辅助胸腔镜手术获取的标本显示为血管肉瘤，但在尸检前未检测到血管肉瘤的原发部位。血管肉瘤是一种罕见的恶性肿瘤，增殖迅速，可发生于身体的任何部位。它可起源于皮肤、软组织、肝脏或心脏。其多中心性和局部复发容易导致误诊，我们一直在努力明确诊断及其起源。血管肉瘤应纳入伴有多个肺结节的弥漫性肺出血的鉴别诊断中。
