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J Thorac Cardiovasc Surg 2003;125:191-193
© 2003 The American Association for Thoracic Surgery

Brief Communications

Surgical treatment of a primary tracheal angiosarcoma

Jin-Shing Chen, MDa, Yih-Leong Chang, MDb, Hsao-Shun Shu, MDa, Yung-Chie Lee, MD, PhDa Taipei, Taiwan

From the Department of Surgerya and Department of Pathology,b National Taiwan University Hospital, Taipei, Taiwan.

Received for publication April 23, 2002. Accepted for publication April 30, 2002. Address for reprints: Yung-Chie Lee, MD, Department of Surgery, National Taiwan University Hospital, No. 7, Chung-Shan S Rd, Taipei, Taiwan (E-mail: wuj@ha.mc.ntu.edu.tw).

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

Angiosarcomas of the pulmonary system are extremely rare and usually represent metastatic diseases.Go 1 Only one case of primary tracheal angiosarcoma has been reported after autopsy.Go 2 The pathogenesis of primary pulmonary angiosarcoma and the association with chemicals are not confirmed. No successful treatment of primary tracheal angiosarcoma has been reported, and the prognosis of this rare disease after surgical resection is unknown. We report a case of a patient with primary tracheal angiosarcoma with an 18-year history of occupational exposure to aerosols of paint pigments. The distinct clinical features of repeated hemoptysis caused by a single, small fleshy tumor at the lower end of the trachea and successful treatment by means of surgical intervention are believed to be the first of their kind.

Clinical summary

A 44-year-old Chinese man was admitted to another hospital because of repeated hemoptysis for 3 months. He was a nonsmoker. He had been working as a spray painter, using a pneumatic spray gun, for 18 years in an environment filled with aerosols of paint pigments. Physical examination revealed a well-developed and well-nourished man in no apparent distress. Routine laboratory investigations and electrocardiograms showed no remarkable findings. The lungs were clear on the basis of chest radiography. At bronchoscopic examination, a 7-mm red fleshy nodule with blood coating and easy-touch bleeding was identified at the right membrane-cartilage junction of the lower trachea, about 1 cm above the level of the carina (Figure 1). Transbronchial biopsy revealed a poorly differentiated carcinoma or sarcoma-like tumor. The . . . [Full Text of this Article]






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