The Journal of the Japanese Association for Chest Surgery
Online ISSN : 1881-4158
Print ISSN : 0919-0945
ISSN-L : 0919-0945
A case of lung cancer with a thin-walled cavity detected concurrently with angiosarcoma of the scalp
Masaki IkedaFengshi ChenRyo MiyataKoji TakahashiToru BandoHiroshi Date
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JOURNAL FREE ACCESS

2012 Volume 26 Issue 7 Pages 753-756

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Abstract

We report a case of lung cancer with a thin-walled cavity detected concurrently with angiosarcoma of the scalp. A 51-year-old man, who suffered from angiosarcoma of the scalp, presented with a mass of 6×8 mm, mainly containing a thin-walled cavity in the left lower lobe at the same time. After complete resection of the angiosarcoma of the scalp, we followed up the pulmonary lesion by administering Teceleukin, genetically recombinant IL-2, since we considered the pulmonary mass to most probably be metastasis of the angiosarcoma. During the treatment for six years after the surgery, although there was no apparent recurrent episode of angiosarcoma, the lung lesion gradually increased in size. Then, for diagnosis and treatment, we performed resection, and the lesion was diagnosed as a pulmonary adenocarcinoma. A cavitary lesion in the lung has the possibility of involving a wide variety of lung diseases. When a pulmonary cavitary lesion is detected concurrently with a disease which can metastasize to the lung and form a cavitary lesion in the lung, careful follow-up should be mandatory. In addition, if the lesion shows a clinical course inconsistent with a metastatic tumor, surgical biopsy should be performed without hesitation.

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© 2012 The Japanese Association for Chest Surgery
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