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Eur J Cardiothorac Surg 1998;14:523-526
© 1998 Elsevier Science NL

Case report

Primary angiosarcomas of the chest wall and pleura

^a Department of Cardiothoracic Surgery, City Hospital, Hucknall Road, Nottingham, NG5 1PB, UK
^b Department of Histopathology, City Hospital, Hucknall Road, Nottingham, NG5 1PB, UK

Received 16 February 1998; accepted 27 July 1998.

Corresponding author. Tel.: +44 115 9691169; fax: +44 115 9627723

Primary angiosarcomas of the chest wall and pleura are extremely rare and carry a dismal prognosis. Two cases are reported. One patient (case 1), presented with massive recurrent haemothorax, was found to have multifocal angiosarcoma of the pleura, treated with surgical de-bulking, chemical pleurodesis and chemotherapy, achieving control of the bleeding. She died 10 months later from complications related to chemotherapy. A full post-mortem examination confirmed this was a primary pleural angiosarcoma with no evidence of disease elsewhere. Another patient (case 2) with a large solitary angiosarcoma of the chest wall, discovered incidentally on a routine physical examination, was successfully treated with surgical excision and subsequent radical radiotherapy, remaining well 15 years post-operatively.

Key Words: Primary angiosarcoma • Chest wall • Pleura

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