A rare cause of hemoptysis

Angiosarcomas are rare, malignant, endothelial-cell tumors of vascular origin that can arise at any body site. They frequently metastasize to the lung, heralded by dyspnea, hemoptysis, chest pain, pneumothoraces, and diffuse pulmonary hemorrhage. However, in most cases lung metastases are discovered...

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Main Authors: Meghan Aversa, Sacha Bhinder, Jeffrey Tanguay, John Thenganatt
Format: Article
Language:English
Published: Elsevier 2014-01-01
Series:Respiratory Medicine Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213007114000410
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author Meghan Aversa
Sacha Bhinder
Jeffrey Tanguay
John Thenganatt
author_facet Meghan Aversa
Sacha Bhinder
Jeffrey Tanguay
John Thenganatt
author_sort Meghan Aversa
collection DOAJ
description Angiosarcomas are rare, malignant, endothelial-cell tumors of vascular origin that can arise at any body site. They frequently metastasize to the lung, heralded by dyspnea, hemoptysis, chest pain, pneumothoraces, and diffuse pulmonary hemorrhage. However, in most cases lung metastases are discovered after the diagnosis of a primary angiosarcoma has already been established. Very rarely will an undiagnosed metastatic angiosarcoma present as diffuse pulmonary hemorrhage. We describe the case of a 59-year-old male who presented to hospital with dyspnea and hemoptysis. CT chest revealed rapidly progressing nodular changes and broncho-alveolar lavage returns were progressively bloody. Open lung wedge biopsy ultimately revealed metastatic angiosarcoma and extensive pulmonary hemorrhage. Our case highlights the key clinical, radiological, and pathological features of this rare malignancy that frequently metastasizes to the lung and reminds clinicians to consider it as a cause of hemoptysis and pulmonary hemorrhage.
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spelling doaj.art-4fd6e6b5a7714e7489b9703710278b282022-12-21T17:15:08ZengElsevierRespiratory Medicine Case Reports2213-00712014-01-0113C485010.1016/j.rmcr.2014.08.001A rare cause of hemoptysisMeghan AversaSacha BhinderJeffrey TanguayJohn ThenganattAngiosarcomas are rare, malignant, endothelial-cell tumors of vascular origin that can arise at any body site. They frequently metastasize to the lung, heralded by dyspnea, hemoptysis, chest pain, pneumothoraces, and diffuse pulmonary hemorrhage. However, in most cases lung metastases are discovered after the diagnosis of a primary angiosarcoma has already been established. Very rarely will an undiagnosed metastatic angiosarcoma present as diffuse pulmonary hemorrhage. We describe the case of a 59-year-old male who presented to hospital with dyspnea and hemoptysis. CT chest revealed rapidly progressing nodular changes and broncho-alveolar lavage returns were progressively bloody. Open lung wedge biopsy ultimately revealed metastatic angiosarcoma and extensive pulmonary hemorrhage. Our case highlights the key clinical, radiological, and pathological features of this rare malignancy that frequently metastasizes to the lung and reminds clinicians to consider it as a cause of hemoptysis and pulmonary hemorrhage.http://www.sciencedirect.com/science/article/pii/S2213007114000410Metastatic angiosarcomaDiffuse pulmonary hemorrhage
spellingShingle Meghan Aversa
Sacha Bhinder
Jeffrey Tanguay
John Thenganatt
A rare cause of hemoptysis
Respiratory Medicine Case Reports
Metastatic angiosarcoma
Diffuse pulmonary hemorrhage
title A rare cause of hemoptysis
title_full A rare cause of hemoptysis
title_fullStr A rare cause of hemoptysis
title_full_unstemmed A rare cause of hemoptysis
title_short A rare cause of hemoptysis
title_sort rare cause of hemoptysis
topic Metastatic angiosarcoma
Diffuse pulmonary hemorrhage
url http://www.sciencedirect.com/science/article/pii/S2213007114000410
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