An autopsy case of chronic empyema-associated angiosarcoma that presented with a rapidly growing chest wall mass

Journal: Nihon Kokyuki Gakkai Zasshi = The Journal Of The Japanese Respiratory Society
Published:
Abstract

A 76-year-old woman with chronic tuberculous empyema presented with bloody sputa and anorexia in April 2005. Chest X-ray and CT scan showed no obvious change compared with previous films. She complained of a left chest pain in June 2005, and chest CT scan showed a tumor shadow enhanced heterogeneously on the left chest wall and chronic empyema. After admission, the chest wall mass grew rapidly. Neither CT- nor sonographically guided biopsy yielded a definitive diagnosis. Dynamic MRI showed a high signal intensity unlike hematoma. She died of respiratory failure 2 months after the onset of her chest pain. Autopsy revealed angiosarcoma. We should always keep in mind the early diagnosis of malignant tumor and tuberculosis in patients presenting with a chest wall mass and constitutional symptoms during follow-up of chronic tuberculous empyema.

Authors
Nobuko Kusano, Masanori Nishikawa, Masaru Ito, Nobumasa Kakemizu