Rakhoti P, Shchukina O P, Gorbunova V A
Vopr Onkol. 1984;30(6):48-53.
Spontaneous pneumothorax is a rare complication of metastatic lesions of the lung. Treatment was given to 111 cases of synovial sarcoma at the Center Clinics in 1975-1981, lung metastases being in 53 cases (47.7%). Spontaneous pneumothorax was registered in 4 patients (3.6%) out of the total number of cases and in 7.55% of those with lung metastases. Three cases of spontaneous pneumothorax and lung metastases of synovial sarcoma revealed no symptoms. Therapeutic effect was obtained by conservative treatment. The risk of spontaneous pneumothorax in cases of lung metastases is increased after chemotherapy, which may be associated with the disintegration of subpleural metastases. Pneumothorax did not interfere with repeated courses of chemotherapy.
自发性气胸是肺部转移性病变的一种罕见并发症。1975年至1981年期间，中心诊所对111例滑膜肉瘤患者进行了治疗，其中53例（47.7%）出现肺转移。在所有病例中，4例（3.6%）发生自发性气胸，在肺转移患者中，这一比例为7.55%。3例滑膜肉瘤肺转移并发自发性气胸患者并无症状。保守治疗取得了治疗效果。化疗后，肺转移患者发生自发性气胸的风险增加，这可能与胸膜下转移灶的崩解有关。气胸并未妨碍重复进行化疗疗程。
