Spontaneous bilateral pneumothoraces from synovial cell sarcoma

O’Leary, Cathal; Soussi, M. El; Cowie, J. W.

doi:10.1016/s0954-6111(06)80273-8

Cited by 7 publications

(2 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…8,9 We were not able to determine the precise mechanism in our patient, although examination of the resected specimen of right lung revealed no necrosis of the tumor or lung tissue nor any tumor invasion of the pleura. The following mechanisms have been suggested to explain how pneumothorax occurs secondary to malignant tumors.…”

Section: Discussionmentioning

confidence: 69%

“…1,5,[10][11][12] Synovial sarcoma is a relatively rare tumor of bone and soft tissue that is known to be highly metastatic to the lung. 4,9,10,[13][14][15] In an autopsy series, 16 two thirds of patients with pulmonary metastases had radiologically detectable disease. 4,9,10,[13][14][15] In an autopsy series, 16 two thirds of patients with pulmonary metastases had radiologically detectable disease.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Untitled

et al. 2002

View full text Add to dashboard Cite

This report describes a case of secondary pneumothorax caused by a radiographically occult lung metastasis from parapharyngeal synovial sarcoma, a relatively rare tumor known to be highly metastatic to the lung. Although chest X-ray and thoracic computed tomography scan failed to detect the metastatic nodule in the right lung, the surgically resected specimen proved to be a 3-mm lung metastasis. To our knowledge, only eight cases of lung metastases from synovial sarcoma causing pneumothorax have ever been reported. In most of these cases, the lung metastases were detected by radiographical examinations. However, in this patient, the metastatic lesion was not detected during examination. It is speculated that secondary pneumothorax caused by synovial sarcoma may occur during the early stages of lung metastasis. Therefore, if pneumothorax occurs in a patient with a synovial sarcoma, the possibility of lung metastasis should be carefully considered, even if it is undetectable on radiological examinations.

show abstract

Section: Discussionmentioning

confidence: 69%

Section: Introductionmentioning

confidence: 99%

Untitled

et al. 2002

View full text Add to dashboard Cite

show abstract

Lingual Carcinoma Metastases Presenting as Spontaneous Pneumothorax

Hsu

Chou

Tsai

et al. 2009

Journal of the Formosan Medical Association

View full text Add to dashboard Cite

Spontaneous pneumothorax is a rare manifestation of primary lung cancer or metastasis. We report a 39-year-old man with well-differentiated squamous cell carcinoma of the tongue and cervical lymph node metastases. He developed lung metastases and spontaneous pneumothorax 22 months later after intra-arterial infusion chemotherapy. The patient was managed with partial lung resection under thoracotomy. The pneumothorax resolved completely after the operation. Histological examination demonstrated metastatic squamous cell carcinoma, which had led to a bronchopleural fistula with subsequent induction of pneumothorax. The patient recovered uneventfully and continued to receive adjuvant chemotherapy in the oncology surgery outpatient department. Unfortunately, the tumors of the tongue and cervical lymph nodes progressively enlarged despite treatment. Eventually, the patient died of respiratory failure 5 months later. In most of the previously reported cases, pulmonary metastases associated with spontaneous pneumothorax usually originate from osteogenic or soft-tissue sarcomas. Although rare, pulmonary metastasis should be considered in the etiology of spontaneous pneumothorax. Despite advanced disease, surgical treatment may be feasible.

show abstract