Metastatic Pulmonary Angiosarcoma Presenting With Bilateral Secondary Spontaneous Pneumothoraces

Author:

Jimenez Daniel1,Antaki James2,Kamangar Nader2

Affiliation:

1. Department of Medicine, Olive View-UCLA Medical Center, UCLA David Geffen School of Medicine, Sylmar, CA, USA

2. Division of Pulmonary and Critical Care Medicine, Department of Medicine, Olive View-UCLA Medical Center, UCLA David Geffen School of Medicine, Sylmar, CA, USA

Abstract

Background: Spontaneous pneumothorax (SP) is uncommon and can present as a primary disease process or as a result of underlying lung pathology. Several parenchymal lung diseases, such as malignancy, are known to cause SP. One such malignancy, angiosarcoma, has a high propensity to metastasize to the lung and present as cavitary and cystic lesions. Case: We present a case of a 76-year-old male diagnosed with angiosarcoma of the scalp that was found to have extensive cystic pulmonary metastatic lesions. Soon after his initial diagnosis, he presented with severe respiratory distress secondary to a spontaneous left-sided pneumothorax. After intubation and left-sided chest tube placement, the patient developed a right-sided tension pneumothorax requiring emergent chest tube placement. Conclusion: Cutaneous angiosarcoma is a rare malignancy that frequently metastasizes the lung. Spontaneous pneumothorax can be the presenting manifestation of the disease and often results in respiratory failure.

Publisher

SAGE Publications

Subject

Critical Care and Intensive Care Medicine

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