Thoracic Angiosarcoma Arising from Chronic Tuberculous Pyothorax.

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Internal Medicine Pub Date : 2025-04-01 Epub Date: 2024-09-04 DOI:10.2169/internalmedicine.4088-24

Takayuki Horii, Jun Sasaki, Hidenobu Ishii, Misa Sudou, Reiko Takaki, Takaaki Tokito, Koichi Azuma, Tomoaki Hoshino

引用次数: 0

Abstract

Angiosarcoma is a rare malignancy that can arise from chronic pyothorax. We herein report a 75-year-old Japanese man with a history of tuberculosis who presented with left-sided chest pain that had persisted for 4 months. Chest computed tomography revealed an encapsulated left-sided pleural effusion with chest wall invasion, and histopathology confirmed angiosarcoma arising from a chronic tuberculous pyothorax. Chemotherapy with paclitaxel (80 mg/m² weekly) was ineffective and was discontinued after 3 months. Our findings emphasize that physicians should inform patients with chronic tuberculous pyothorax about malignant complications for which chest pain is the initial symptom, in addition to highlighting the need for careful follow-up.

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慢性结核性气胸引发的胸腔血管肉瘤：病例报告。

血管肉瘤是一种罕见的恶性肿瘤，可由慢性脓胸引起。我们在此报告了一名 75 岁的日本男子，他有肺结核病史，因左侧胸痛持续 4 个月而就诊。胸部计算机断层扫描显示左侧胸腔积液包裹胸壁，组织病理学证实血管肉瘤源于慢性结核性脓胸。紫杉醇化疗（每周 80 毫克/平方米）效果不佳，3 个月后停药。我们的研究结果强调，医生应告知慢性结核性脓胸患者以胸痛为首发症状的恶性并发症，并强调需要仔细随访。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Internal Medicine 医学-医学：内科

CiteScore

1.90

自引率

8.30%

发文量

审稿时长

2.2 months

期刊介绍： Internal Medicine is an open-access online only journal published monthly by the Japanese Society of Internal Medicine. Articles must be prepared in accordance with "The Uniform Requirements for Manuscripts Submitted to Biomedical Journals (see Annals of Internal Medicine 108: 258-265, 1988), must be contributed solely to the Internal Medicine, and become the property of the Japanese Society of Internal Medicine. Statements contained therein are the responsibility of the author(s). The Society reserves copyright and renewal on all published material and such material may not be reproduced in any form without the written permission of the Society.