Bilateral Spontaneous Recurrent Hemothorax As a Complication of Primary Angiosarcoma of the Pleura
https://doi.org/10.23934/2223-9022-2025-14-2-460-465
Abstract
RELEVANCE Pleural angiosarcoma is a rare type of malignant tumors. The diagnosis of primary pleural angiosarcoma is extremely difficult and is based on the results of immunohistochemical examination of tumor biopsies. The etiology and treatment methods of this disease have been poorly studied.
AIM Demonstration of a rare case of pleural angiosarcoma as a cause of bilateral spontaneous hemothorax.
CONCLUSION Primary epithelioid pleural angiosarcoma is a rare tumor with a high degree of malignancy and an unfavorable prognosis, which does not have pathognomonic symptoms. Spontaneous hemothorax may be the only primary clinical manifestation of the disease. Diagnostic thoracoscopy with pleural biopsy performed at an early stage to clarify the cause of hemothorax allows morphological verification of the tumor structure, which can affect the outcome of the disease in case of timely treatment.
Keywords
hemothorax,
spontaneous hemothorax,
malignant diseases of the pleura,
angiosarcoma,
angiosarcoma of the pleura
Supporting agencies: The study had no sponsorship
About the Authors
S. A. Khachatryan
N.V. Sklifosovsky Research Institute of Emergency Medicine, Department of Emergency Surgery, Endoscopy and Intensive Care
Russian Federation
Russian Federation
Suren A. Khachatryan - Thoracic Surgeon, Department of Thoracic Surgery, N.V. Sklifosovsky Research Institute for Emergency Medicine.
Bolshaya Sukharevskaya Sq. 3, Moscow, 129090
D. V. Zolotarev
N.V. Sklifosovsky Research Institute of Emergency Medicine, Department of Emergency Surgery, Endoscopy and Intensive Care
Russian Federation
Russian Federation
Dmitry V. Zolotarev - Senior Researcher, Department of Emergency Surgery, Endoscopy and Intensive Care; Thoracic Surgeon, Department of Thoracic Surgery, N.V. Sklifosovsky Research Institute for Emergency Medicine.
Bolshaya Sukharevskaya Sq. 3, Moscow, 129090
V. G. Kotanjian
N.V. Sklifosovsky Research Institute of Emergency Medicine, Department of Emergency Surgery, Endoscopy and Intensive Care
Russian Federation
Russian Federation
Vazgen G. Kotanjian - Head, Department of Thoracic Surgery, N.V. Sklifosovsky Research Institute for Emergency Medicine.
Bolshaya Sukharevskaya Sq. 3, Moscow, 129090
V. V. Titova
N.V. Sklifosovsky Research Institute of Emergency Medicine, Department of Emergency Surgery, Endoscopy and Intensive Care
Russian Federation
Russian Federation
Victoria V. Titova - Physician-Pathologist, Department of Pathological Anatomy, N.V. Sklifosovsky Research Institute for Emergency Medicine.
Bolshaya Sukharevskaya Sq. 3, Moscow, 129090
S. A. Troshina
N.V. Sklifosovsky Research Institute of Emergency Medicine, Department of Emergency Surgery, Endoscopy and Intensive Care; S.S. Yudin City Clinical Hospital
Russian Federation
Russian Federation
Sofia A. Troshina - Resident Physician, Department of Thoracic Surgery, N.V. Sklifosovsky Research Institute for Emergency Medicine; Oncologist, Department of Oncology No. 3, Center of Oncology No. 1, S.S. Yudin City Clinical Hospital.
Bolshaya Sukharevskaya Sq. 3, Moscow, 129090; Kolomensky proezd 4, Moscow, 115446
F. A. Chernousov
N.V. Sklifosovsky Research Institute of Emergency Medicine, Department of Emergency Surgery, Endoscopy and Intensive Care
Russian Federation
Russian Federation
Fedor A. Chernousov - Doctor of Medical Sciences, Full Professor, Leading Researcher, Department of Emergency Surgery, Endoscopy and Intensive Care, N.V. Sklifosovsky Research Institute for Emergency Medicine.
Bolshaya Sukharevskaya Sq. 3, Moscow, 129090
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Review
For citations:
Khachatryan S.A., Zolotarev D.V., Kotanjian V.G., Titova V.V., Troshina S.A., Chernousov F.A. Bilateral Spontaneous Recurrent Hemothorax As a Complication of Primary Angiosarcoma of the Pleura. Russian Sklifosovsky Journal "Emergency Medical Care". 2025;14(2):460-465. (In Russ.) https://doi.org/10.23934/2223-9022-2025-14-2-460-465
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