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Ann Thorac Surg 2005;79:716
© 2005 The Society of Thoracic Surgeons

Images in cardiothoracic surgery

Multiple Pleural Destruction Due to Pleural Dissemination of Pulmonary Carcinoma Originating From Pneumothorax

Tohru Mawatari, MDa,*, Atsushi Watanabe, MDa, Hisayoshi Ohsawa, MDa, Yasuaki Fujisawa, MDa, Tomio Abe, MDa

a Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan

* Address reprint requests to Dr Mawatari, Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, South 1 West 16, Chuo-ku, Sapporo, 060-8556 Japan
mawatari@sapmed.ac.jp

The first 20% of the full text of this article appears below.

A 48-year-old man was admitted to our hospital complaining of coughing, hemosputum, and dyspnea. Chest roentgenography revealed left pneumothorax and pleural effusion (Fig 1), which was revealed to be malignant by cytologic examination and contained a high level of hyaluronic acid (4,761 mg/mL). Primary lung carcinoma or mesothelioma was suspected. A drainage tube was placed in the left pleural cavity and 10 cmH2O suction was applied for 10 days. Surgery was scheduled because of prolonged air leakage, and the . . . [Full Text of this Article]






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