Angiosarcoma with sacral origin metastasizing to the lung.
A 73-year-old man with fever, lumbago and hemosputum showed ground-glass opacity around multiple lung nodules on chest computed tomography. Examination of the man revealed anemia. Specimens obtained by video-assisted thoracic surgery revealed angiosarcoma, but the primary site of angiosarcoma could not be detected before autopsy. Angiosarcoma is a rare malignant neoplasm with rapid proliferation and they can arise at any region of the body. It can originate in the skin, soft tissue, liver or heart. Their multicentric and local recurrence easily leads us to misdiagnosis, and we have struggled to reach diagnosis and its origin. Angiosarcoma should be included in the different diagnosis of diffuse pulmonary hemorrhage with multiple lung nodules.
Nakamura
Masaru
M
First Department of Internal Medicine, Shinshu University School of Medicine, Asahi Matsumoto.
Tsushima
Kenji
K
Yasuo
Masanori
M
Yamazaki
Yoshitaka
Y
Honda
Takayuki
T
Koizumi
Tomonobu
T
Fujimoto
Keisaku
K
Kubo
Keishi
K
D000368:Aged; D003937:Diagnosis, Differential; D006394:Hemangiosarcoma / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000556:secondary*; D008297:Male; D011859:Radiography; D012447:Sacrum / Q000000981:diagnostic imaging / Q000473:pathology*; D013125:Spinal Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging