[Primary pulmonary leiomyosarcoma revealed by spontaneous pneumothorax].
We report the case of a 57-year-old patient admitted for dyspnea and dry cough. Thoracic radiograph showed a right pneumothorax and right paracardiac opacity. Thoracic drainage was carried out allowing the return of the lung at the wall. Chest CT-scan revealed right upper mediastinopulmonary mass taking contrast material associated with a nodular thickening of the pleura. CT-guided biopsy of the mass and the pleural nodules concluded to pulmonary leiomyosarcoma. Death occurred one month after diagnosis confirmation. Pneumothorax is a usual mode of revealing sarcoma's pulmonary metastases; however, it is exceptionally associated with primitive pulmonary sarcomas. Our case is the second published case, to our knowledge, of primitive pulmonary leiomyosarcoma presenting with pneumothorax.
Ketata
W
W
Service de Pneumoallergologie, CHU Hédi Chaker, Sfax, Tunisia. wajdi.ketata@yahoo.fr
Msaad
S
S
Kwass
H
H
Bahri Zouari
I
I
Abbes
K
K
Yangui
I
I
Boudawara
T
T
Ayoub
A
A
D003371:Cough / Q000209:etiology; D004322:Drainage; D004417:Dyspnea / Q000209:etiology; D017809:Fatal Outcome; D006801:Humans; D007890:Leiomyosarcoma / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D008175:Lung Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D011030:Pneumothorax / Q000209:etiology