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Ann Thorac Surg 2001;72:2111-2113
© 2001 The Society of Thoracic Surgeons

Case report

Unusual cause of recurrent pneumothorax: excavated metastasis of osteosarcoma

Gwenaëlle Le Garff, MDa, Hervé Léna, MDa, Hervé Corbineau, MDb, Pierre Kerbrat, MDc, Philippe Delaval, MD*a

a Service de Pneumologie, Centre Cardio-Pneumologique, Hôpital Pontchaillou-CHU, Rennes, France
b Service de Chirurgie Thoracique et Cardio-Vasculaire, Centre Cardio-Pneumologique, Hôpital Pontchaillou-CHU, Rennes, France
c Service d’Oncologie Médicale, Centre Eugène Marquis, Rennes, France

Accepted for publication March 1, 2001.

* Address reprint requests to Dr Delaval, Service de Pneumologie, Centre Cardio-Pneumologique, Hôpital Pontchaillou-CHU, 35033 Rennes Cedex, France
e-mail: philippe.delaval{at}chu-rennes.fr

We report the case of a recurrent right pneumothorax, revealing metastasis of an osteosarcoma, 40 months after complete remission. Seven years after surgical excision, the patient is still considered in complete remission. Pneumothorax is rarely the first manifestation of lung metastasis. Osteosarcoma is the most frequent primary tumor. Chest computed tomography detects excavated or subpleural lung metastasis. Differential diagnosis between benign and malignant bullous lesions is important because surgical excision affects survival in some malignancies.




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[Abstract] [Full Text] [PDF]


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