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CASE REPORT
Year : 2016  |  Volume : 28  |  Issue : 4  |  Page : 170-173

Spontaneous hemothorax: primary pleural epithelioid angiosarcoma


1 Department of Pulmonary Medicine, SevenHills Hospital, Mumbai, India
2 Department of Histopathology, SevenHills Hospital, Mumbai; Department of Laboratory Medicine, SevenHills Hospital, Mumbai, India
3 Department of Surgical Oncology, SevenHills Hospital, Mumbai, India
4 Department of Radiation Oncology, SevenHills Hospital, Mumbai, India

Correspondence Address:
Amit Panjwani
3203, Type 3 Staff Quarters, SevenHills Hospital, Marol Maroshi Road, Mumbai 400059
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1110-7782.203298

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Spontaneous hemothorax is a rare condition seen in coagulation and vascular disorders. Uncommonly, malignant neoplasms may cause spontaneous hemothorax. Primary pleural epithelioid angiosarcomas (excluding the cases with pleuropulmonary or chest wall involvement) are extremely rare pleural tumors, which may be mistaken for mesothelioma or adenocarcinoma, and only 19 cases (one of them from India) have been reported in the English literature, to date. It commonly occurs in older men, has a nonspecific clinicoradiological presentation, and carries a poor prognosis with no survivors beyond a year of establishing the diagnosis. We report a case of primary pleural epithelioid angiosarcoma presenting as a life-threatening spontaneous hemothorax. We also present a brief literature review on pleural angiosarcoma.


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