Karlawish J H, Smith G W, Gabrielson E W, Liu M C
Department of Internal Medicine, Francis Scott Key Medical Center, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Ann Thorac Surg. 1995 Jan;59(1):231-3. doi: 10.1016/0003-4975(94)00331-Z.
A 48-year-old man who presented with chest pain was found to have a spontaneous hemothorax caused by a large grade II chondrosarcoma. This was diagnosed on the basis of the findings from thoracotomy. After chest tube drainage of the hemothorax, the tissue obtained by two computed tomography-guided biopsies of a residual mass did not yield findings that allowed diagnosis of the tumor. This unusual case illustrates the importance of a systematic workup whenever a spontaneous hemothorax is encountered.
一名48岁因胸痛就诊的男性被发现患有由大型II级软骨肉瘤引起的自发性血胸。这是根据开胸手术的结果诊断出来的。在对血胸进行胸腔闭式引流后，通过对残留肿块进行两次计算机断层扫描引导下的活检所获得的组织未得出能够诊断该肿瘤的结果。这个不寻常的病例说明了遇到自发性血胸时进行系统检查的重要性。
