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Primary pulmonary epithelioid angiosarcoma: A case report and literature review


1 Department of Respiratory Medicine, The Second Hospital of Shandong University, Jinan, China
2 Department of Thoracic, The Second Hospital of Shandong University, Jinan, China

Correspondence Address:
Wei Wang,
Department of Respiratory Medicine, The Second Hospital of Shandong University, Jinan
China
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Source of Support: None, Conflict of Interest: None

Primary pulmonary epithelioid angiosarcoma is an extremely rare malignancy. Herein, we report the case of an elderly Chinese patient with primary pulmonary epithelioid angiosarcoma. The 72-year-old man presented with a 1-month history of persistent hemoptysis and left chest pain and weight loss of 3 kg. A chest computed tomography (CT) scan revealed two masses (maximum size 3.0 cm × 2.0 cm and 0.8 cm × 0.5 cm) in right lower lobe. We performed a left thoracotomy for tumor resection. Pathological examination showed that there was a significant amount of hemorrhage, fibrinous exudates, degeneration, and necrosis. With immunohistochemical analysis, tumor cells had strong expression of CD34, FLI-1, vimentin. Morphological and immunohistochemical findings supported the diagnosis of epithelioid angiosarcoma.


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