Kubo Sousuke, Kobayashi Nobuaki, Kaneko Ayami, Aiko Hiroko, Kudo Makoto, Kaneko Takeshi
Department of Pulmonology Yokohama City University Graduate School of Medicine Yokohama Japan.
Department of Pulmonology Yokohama City University Medical Center Yokohama Japan.
Respirol Case Rep. 2019 Aug 26;7(8):e00479. doi: 10.1002/rcr2.479. eCollection 2019 Nov.
An 82-year-old man with chronic tuberculous empyema visited our hospital for an annual computed tomography (CT) scan. No differences were noted between the CT scan at presentation and a scan performed a year previously in August 2017. He began experiencing right chest, epigastrium, and back pain since the end of October 2017. A CT scan taken in November of 2017 to evaluate the pain in his right chest, epigastrium, and back showed an irregular thickening of the pleura adjacent to the empyema and an abnormal right seventh costal mass infiltrating the vertebral body. CT-guided needle biopsy of the mass showed angiosarcoma. Positron emission tomography/CT revealed multiple metastases in his bones and liver. Chemotherapy was not recommended owing to his poor performance status, which was related to angiosarcoma. Therefore, he was offered palliative radiotherapy for the metastasis to the vertebral body.
一名患有慢性结核性脓胸的82岁男性因年度计算机断层扫描（CT）来到我院。此次就诊时的CT扫描结果与2017年8月进行的上一年度扫描相比无差异。自2017年10月底起，他开始出现右胸、上腹部及背部疼痛。2017年11月为评估其右胸、上腹部及背部疼痛而进行的CT扫描显示，脓胸附近的胸膜不规则增厚，右侧第七肋骨有异常肿块浸润椎体。对该肿块进行CT引导下针吸活检显示为血管肉瘤。正电子发射断层扫描/CT显示其骨骼和肝脏有多处转移。由于其身体状况较差（与血管肉瘤有关），不建议进行化疗。因此，为其椎体转移灶提供了姑息性放疗。
