An unusual presentation of pneumothorax associated with cystic lung metastasis from epithelioid sarcoma: A case report and review of the literature

Hoshi,Manabu; Oebisu,Naoto; Iwai,Tadashi; Ieguchi,Makoto; Ban,Yoshitaka; Nakamura,Hiroaki

doi:10.3892/ol.2018.7868

April-2018 Volume 15 Issue 4

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April-2018 Volume 15 Issue 4

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Case Report

An unusual presentation of pneumothorax associated with cystic lung metastasis from epithelioid sarcoma: A case report and review of the literature

Authors:
- Manabu Hoshi
- Naoto Oebisu
- Tadashi Iwai
- Makoto Ieguchi
- Yoshitaka Ban
- Hiroaki Nakamura
View Affiliations / Copyright

Affiliations: Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Abeno, Osaka 545‑8585, Japan
Pages: 4531-4534
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Published online on: January 26, 2018

https://doi.org/10.3892/ol.2018.7868
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Abstract

Circumscribed solid nodules are common in pulmonary metastases from sarcoma, but cystic pulmonary metastases from sarcomas are extremely rare. An unusual case of a 33‑year‑old man presenting with left spontaneous pneumothorax in association with cystic pulmonary metastases from an epithelioid sarcoma in the left forearm was discussed in the present study. The patient underwent wide resection of an epithelioid sarcoma in the left forearm 6 years prior. Periodical computed tomography revealed a gradual increase in the number and size of bilateral multiple cystic pulmonary metastases despite repeated chemotherapy treatment. At 33 years of age, the patient visited the outpatient department for sudden left chest pain and dyspnea. Plain radiography demonstrated spontaneous pneumothorax in the left lung; chest tube insertion and pleurodesis were successfully performed thereafter. At the last follow‑up, 24 months after spontaneous pneumothorax, he is still alive and receiving chemotherapy treatment. Spontaneous pneumothorax is a common complication associated with cystic pulmonary metastases from epithelioid sarcoma. Orthopedic oncologists need to be aware of this unusual sarcomatous metastasis during the follow-up of advanced epithelioid sarcoma.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

An unusual presentation of pneumothorax associated with cystic lung metastasis from epithelioid sarcoma: A case report and review of the literature

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