Epithelioid sarcoma with spontaneous pneumothorax and massive pleural effusion
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Epithelioid sarcoma (ES) is an uncommon mesenchymal tumor that most frequently occurs in the dermal or subcutaneous area of the distal extremities of young adults, mainly in men. ES has a poor prognosis owing to its aggressiveness, as it frequently recurs locally and can undergo metastasis mainly to the lymph nodes, soft tissues, bones, lungs, and brain. Unilateral or bilateral spontaneous pneumothorax with cystic lung metastasis has been reported [1-5]. To our knowledge, only five patients have been reported in the literature, none of whom had massive pleural effusion. We reviewed the existing literature on pneumothorax in ES cases and present herein the first reported case of spontaneous pneumothorax and massive pleural effusion in both lungs in ES.
Abstract
Epithelioid sarcoma (ES) is an uncommon mesenchymal tumor that most frequently occurs in the dermal or subcutaneous area of the distal extremities of young adults, mainly in men. ES has a poor prognosis owing to its aggressiveness, as it frequently recurs locally and can undergo metastasis mainly to the lymph nodes, soft tissues, bones, lungs, and brain. Unilateral or bilateral spontaneous pneumothorax with cystic lung metastasis has been reported [1-5]. To our knowledge, only five patients have been reported in the literature, none of whom had massive pleural effusion. We reviewed the existing literature on pneumothorax in ES cases and present herein the first reported case of spontaneous pneumothorax and massive pleural effusion in both lungs in ES.
참고문헌 (5)
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- Chan DP, "Cystic pulmonary metastases from epithelioid cell sarcoma", Ann Thorac Surg, 75, pp.1652~1654 (2003)
- Kikuchi E, "Epithelioid sarcoma presenting as pulmonary cysts with cancer antigen 125 expression", Respirology, 11, pp.826~829 (2006)
- Barnoud R, "Lung metastases of epithelioid sarcoma revealed by bilateral spontaneous pneumothorax: a pathological diagnosis", Ann Pathol, 30, pp.139~142 (2010)
- Liu Y, "Epithelioid sarcoma with osteoporosis and pneumothorax", Eur J Dermatol, 21, pp.296~297 (2011)