Hemoptysis as an unusual presenting symptom of invasion of a descending thoracic aortic aneurysmal dissection by lung cancer.
A 70-year-old woman with a known chronic dissecting aneurysm of the descending thoracic aorta presented with new-onset back pain and hemoptysis. The hemoptysis was thought to be the result of invasion of the bronchial tree by the aneurysm. During surgical repair, a lesion that appeared to be a pulmonary abscess was discovered to be adhering to the aortic tissue, and the patient underwent a localized pulmonary resection. The pathology report of the surgical specimens revealed squamous cell carcinoma of the lung with infiltration of the aortic wall. The patient died of lung cancer 6 months later. Hemoptysis was an unusual presentation in a case of lung cancer that had invaded a stable chronic aortic aneurysm.
Tsui
Pang
P
Department of Anesthesiology, University Hospitals of Cleveland/Case Western Reserve University, Ohio 44106-5007, USA.
Lee
Jai H
JH
MacLennan
Gregory
G
Capdeville
Michelle
M
D000368:Aged; D000784:Aortic Dissection / Q000150:complications* / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000150:complications* / Q000473:pathology; D017809:Fatal Outcome; D005260:Female; D006469:Hemoptysis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications* / Q000473:pathology; D009361:Neoplasm Invasiveness