Key result
A 71-year-old woman with a history of tuberculous empyema developed chest wall angiosarcoma and died of tumor bleeding and infection 7 months postoperatively despite resection and radiation therapy.
Case Report (n=1)
No
Angiosarcoma should be considered in the differential diagnosis of chest wall tumors occurring late after surgery for empyema.
Consider angiosarcoma in remote post-empyema chest wall masses; single case leaves optimal diagnosis and management open.
症例は78歳，女性．約30年前に結核性慢性膿胸に対し右肺摘除を施行している．3ヵ月前から右胸壁腫瘤を自覚し徐々に増大するため当院を紹介受診した．胸部ctで前胸壁に腫瘤を認め，穿刺吸引細胞診により腺癌の診断を得た．放射線治療後に胸壁腫瘍を切除したところ，病理組織診断では類上皮型血管肉腫と診断された．術後早期に血管肉腫再発を来たし2度の再手術と放射線治療を行ったものの，腫瘍出血と感染併発により初回術後約3ヵ月目に死亡した．膿胸術後遠隔期には稀ではあるものの血管肉腫の発生も考慮し診断と治療にあたる必要がある．
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Sakaizawa et al. (2014) conducted a case report in Angiosarcoma of the chest wall after tuberculous empyema (n=1). Surgical resection and radiation therapy was evaluated on Patient survival. A 71-year-old woman with a history of tuberculous empyema developed chest wall angiosarcoma and died of tumor bleeding and infection 7 months postoperatively despite resection and radiation therapy.
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