title: [Primary pulmonary leiomyosarcoma revealed by spontaneous pneumothorax].
abstract: 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.
authors.affiliation: Service de Pneumoallergologie, CHU Hédi Chaker, Sfax, Tunisia. wajdi.ketata@yahoo.fr
authors.forename: W
authors.initials: W
authors.lastname: Ketata
authors.forename: S
authors.initials: S
authors.lastname: Msaad
authors.forename: H
authors.initials: H
authors.lastname: Kwass
authors.forename: I
authors.initials: I
authors.lastname: Bahri Zouari
authors.forename: K
authors.initials: K
authors.lastname: Abbes
authors.forename: I
authors.initials: I
authors.lastname: Yangui
authors.forename: T
authors.initials: T
authors.lastname: Boudawara
authors.forename: A
authors.initials: A
authors.lastname: Ayoub
mesh_terms: 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