Ott R A, Eugene J, Kollin J, Kanas R J, Conston D E, Chi J C
J Surg Oncol. 1987 Aug;35(4):269-76. doi: 10.1002/jso.2930350413.
A 60-year-old man presented with a 3-month history of shortness of breath. He was found to have a right thoracic mass involving the right middle and lower lobes, pulmonary hilum, and mediastinum. Diagnosis could not be established by pleural fluid cytology, pleural biopsies, bronchoscopy, and ultrasound-guided needle biopsies. A diagnostic exploratory thoracotomy was performed. Massive hemorrhage was encountered upon opening the pleura, and bleeding was controlled by performing a radical pneumonectomy. Histology revealed angiosarcoma, pulmonary primary. The patient survived for 68 days. At autopsy, he was found to have adenocarcinoma of the prostate, adenocarcinoma of the rectum, carcinoid of the ileum, and leiomyoblastoma of the stomach as well as diffuse metastases from the angiosarcoma. This represents the fourth reported case of primary pulmonary angiosarcoma.
一名60岁男性因气短3个月前来就诊。发现其右胸有一肿块，累及右中、下叶、肺门及纵隔。通过胸水细胞学检查、胸膜活检、支气管镜检查及超声引导下针吸活检均未能明确诊断。遂行诊断性开胸探查术。打开胸膜时出现大量出血，通过实施根治性肺切除术控制了出血。组织学检查显示为原发性肺血管肉瘤。患者存活了68天。尸检发现他患有前列腺腺癌、直肠腺癌、回肠类癌、胃平滑肌瘤母细胞瘤以及血管肉瘤的弥漫性转移。这是第四例报道的原发性肺血管肉瘤病例。
