Department of Surgery, Veterans Affairs Medical Center, Wilkes-Barre, Pennsylvania 18711, USA.
Ann Thorac Surg. 2012 Sep;94(3):e77-8. doi: 10.1016/j.athoracsur.2012.02.030.
Metastatic pulmonary angiosarcomas frequently present with pneumothorax, especially those arising from the scalp. The metastases on chest radiographs are initially subtle and easily missed. Computed tomographic scans can show a spectrum of diagnostic findings that may be misinterpreted because of a lack of awareness related to the rarity of the disease. We report a patient who presented with pneumothorax and lung cysts before his primary scalp angiosarcoma was diagnosed. This case highlights the sometimes ominous nature of innocuous-looking, thin-walled cystic pulmonary lesions.
转移性肺血管肉瘤常表现为气胸，尤其是那些源自头皮的肿瘤。胸部 X 线片上的转移灶最初较为细微，容易漏诊。计算机断层扫描（CT）可以显示一系列可能因对该病的罕见性认识不足而导致误诊的诊断发现。我们报告了一例患者，其在诊断原发性头皮血管肉瘤之前曾出现气胸和肺囊肿。该病例突出了看似良性、薄壁囊性肺病变的潜在凶险性。
