Afshin MOHAMMADI, Mohammad Ghasemi RAD, Rahim MAHMODLOU, Nikol MLADKOVA, Farahnaz NOOROZINIA

Spontaneous massive hemothorax secondary to chest wall chondrosarcoma: a case report

Otuz yaşında, daha önce hastalık öyküsü ve yakın zamanda travma öyküsü olmayan, sol hemitoraksta keskin ağrı ile acil serviste görülen bir hastayı sunuyoruz. Göğüs radyografisinde kostofrenik sinüste küntleşme ve sol mediastende oval bir kitle saptandı. Bilgisayarlı tomografide, manyetik rezonans görüntüleme ile doğrulanan, kalsifiye ekstraplevral kitle ve plevral efüzyon izlendi. Torakotomi yapılarak biyopsi alındı ve tümör çıkarıldı. Patolojik incelemede spontan masif hemotoraksın nadir bir nedeni olan kondrosarkom saptandı. Bu hastada, interkostal damarların tümörle invazyonu hemotoraksın muhtemel nedeniydi.

Göğüs duvarı kondrosarkomuna sekonder spontan masif hemotoraks: Bir olgu sunumu

We present the case of a 30-year-old man with no past history of disease or recent trauma, who was seen in the emergency room after developing sharp pain in the left hemithorax. Chest roentgenogram showed costopherenic angle blunting and an oval mass in the left mediastinum. A computed tomographic scan showed extrapleural mass with coarse calcifications and pleural effusion, confirmed by magnetic resonance imaging. The tumor was biopsied and removed during thoracotomy. The pathology reported revealed chondrosarcoma, which is a rare cause for a spontaneous massive hemothorax. Invasion of the intercostals vessels by the tumor was the probable cause of hemothorax in this patient.

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