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Ann Thorac Surg 1995;59:231-233
© 1995 The Society of Thoracic Surgeons

Case Report

Spontaneous Hemothorax Caused by a Chest Wall Chondrosarcoma

Jason H. T. Karlawish, MD, Gardner W. Smith, MD, Edward W. Gabrielson, MD, Mark C. Liu, MD

Departments of Internal Medicine, Thoracic Surgery, and Pathology and Division of Pulmonary and Critical Care Medicine, Francis Scott Key Medical Center of Johns Hopkins University School of Medicine, Baltimore, Maryland

Accepted for publication May 9, 1994.

A 48-year-old man who presented with chest pain was found to have a spontaneous hemothorax caused by a large grade II chondrosarcoma. This was diagnosed on the basis of the findings from thoracotomy. After chest tube drainage of the hemothorax, the tissue obtained by two computed tomography-guided biopsies of a residual mass did not yield findings that allowed diagnosis of the tumor. This unusual case illustrates the importance of a systematic workup whenever a spontaneous hemothorax is encountered.






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