• Rev Pneumol Clin · Oct 2009

    Case Reports

    [Primary pulmonary leiomyosarcoma revealed by spontaneous pneumothorax].

    • W Ketata, S Msaad, H Kwass, I Bahri Zouari, K Abbes, I Yangui, T Boudawara, and A Ayoub.
    • Service de Pneumoallergologie, CHU Hédi Chaker, Sfax, Tunisia. wajdi.ketata@yahoo.fr
    • Rev Pneumol Clin. 2009 Oct 1; 65 (5): 309-12.

    AbstractWe report the case of a 57-year-old patient admitted for dyspnea and dry cough. Thoracic radiograph showed a right pneumothorax and right paracardiac opacity. Thoracic drainage was carried out allowing the return of the lung at the wall. Chest CT-scan revealed right upper mediastinopulmonary mass taking contrast material associated with a nodular thickening of the pleura. CT-guided biopsy of the mass and the pleural nodules concluded to pulmonary leiomyosarcoma. Death occurred one month after diagnosis confirmation. Pneumothorax is a usual mode of revealing sarcoma's pulmonary metastases; however, it is exceptionally associated with primitive pulmonary sarcomas. Our case is the second published case, to our knowledge, of primitive pulmonary leiomyosarcoma presenting with pneumothorax.

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