Orgi Anas, Moussaoui Salma, Merzem Aicha, Belgadir Hasna, Amriss Omar, Moussali Nadia, Benna Naima El
Radiology Department, University Hospital Center Ibn Rochd, Casablanca 20100, Morocco.
Radiol Case Rep. 2024 Sep 3;19(11):5471-5473. doi: 10.1016/j.radcr.2024.08.023. eCollection 2024 Nov.
Cutaneous angiosarcoma is a rare malignant vascular tumor that most often affects the scalp and face of elderly males. It is most frequently associated with lung metastases, with the appearance of thin-walled cyst. We report the case of a 78-year-old male who presented with acute chest pain and dyspnea, subsequently revealing bilateral pneumothorax caused by cystic pulmonary metastases from a neglected facial angiosarcoma. The diagnosis was confirmed through comprehensive radiological evaluations, emphasizing the critical role of CT imaging. This case underscores the critical need to not underestimate pneumothorax complicating cystic lung lesions and to consider angiosarcoma metastases, particularly in elderly men, as a potential diagnosis.
皮肤血管肉瘤是一种罕见的恶性血管肿瘤，最常累及老年男性的头皮和面部。它最常与肺转移相关，表现为薄壁囊肿。我们报告一例78岁男性，他因急性胸痛和呼吸困难就诊，随后发现是由被忽视的面部血管肉瘤的囊性肺转移引起的双侧气胸。通过全面的影像学评估确诊，强调了CT成像的关键作用。该病例强调了绝不能低估并发囊性肺病变的气胸，以及将血管肉瘤转移，尤其是在老年男性中，作为一种潜在诊断的迫切需要。
