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The Korean Journal of Pathology 2001;35(6): 544-546.
Emphysematous Cystic Pulmonary Metastasis of Angiosarcoma.
Tae Heon Kim, Ji Sun Song, Soon Hee Jung, Ki Jun Sung, Eun Gi Kim
Departments of Pathology, Radiology and Chest Surgery, Wonju College of Medicine, Yonsei University, Wonju 220-701, Korea. soonheej@wonju.yonsei.ac.kr
ABSTRACT
Pulmonary metastatic angiosarcoma usually reveals multiple nodular lesions associated with parenchymal hemorrhage. It is presented, in rare cases, as multiple emphysematous cystic lesions, complicated by pneumothorax. We experienced a case of pulmonary metastastasis from angiosarcoma of the scalp in a 58-year-old male showing multiple thin-walled emphysematous cystic lesions. The tumor cells spread along the subpleural and interlobular septa, focally surrounding the cystic lesions. This case suggests that a rare metastatic pattern seen in angiosarcoma of the scalp should be considered as a differential diagnosis of bullous emphysematous lesion.
Key Words: Lung neoplasms; Neoplasm metastasis; Hemangiosarcoma
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