Bilateral Massive Bloody Pleurisy Complicatedby Angiosarcoma

Abstract

We report a case of angiosarcoma complicated by bilateral massive bloody pleurisy (hematocrit of 7.2%) in an 83-year-old

Angiosarcoma of the lung: 2 cases report and literature reviewed

“…The most common presenting symptom of pulmonary metastasis in angiosarcoma was haemoptysis, while relatively few cases presented with spontaneous pneumothorax, pneumomediastinum or pulmonary haemorrhage [2,15]. Primary tumors may occur either as multifocal lesions or as a solitary nodule.…”

Fatal Hemothorax Caused by Pseudomesotheliomatous Carcinoma of the Lung

“…Bleeding caused by these tumors has been attributed to several mechanisms. One is direct oozing or exsanguination of the tumor into the pleural space, and another is acute bleeding due to rupture of the primary tumor [18]. We believe that both mechanisms could explain the intractable bleeding in the present case, considering the serosal ulceration of the primary lesion and multiple small blood-filled clefts and vessels between the discohesive tumor cells.…”

“…True hemothorax is defined as pleural fluid with a hematocrit equal to or greater than 50% of the blood hematocrit [17]. Values of less than 50% have sometimes been called bloody pleurisy [18]. Measuring the hematocrit (or hemoglobin concentration) to distinguish between true hemothorax and bloody pleurisy is important as these two conditions have different etiologies and therapeutic options [17].…”

Pulmonary Angiosarcoma Presenting as Spontaneous Recurrent Hemothorax

“…1 Hemothorax can be the presenting symptom in cardiac angiosarcoma, Ewing sarcoma of the diaphragm, or metastatic and primary pleural angiosarcomas. 1 …”