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J Thorac Cardiovasc Surg 2007;133:587-588
© 2007 The American Association for Thoracic Surgery

Brief Communication

Bone or pleura? Primary pleural osteosarcoma

Pankaj Chandak, MRCS(Eng)a, Ian Hunt, MRCS(Eng)a,*, Randolph Rawlins, FRCSa, Sebastian Lucas, FRCPathb, Tom Treasure, MD, MS, FRCSa

a Department of Thoracic Surgery, Guy’s & St Thomas’s Hospital, London, United Kingdom
b Department of Histopathology, Guy’s & St Thomas’s Hospital, London, United Kingdom.

Received for publication July 25, 2006; accepted for publication September 5, 2006.

* Address for reprints: Ian Hunt, MRCS(Eng), Department of Thoracic Surgery, Guy’s Hospital, St Thomas Street, London SE1 9RT, United Kingdom. (Email: ianjhunt@gmail.com).

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

We describe a case of primary pleural osteosarcoma presenting as recurrent bloody pleural effusion and striking pleural calcification encasing the lung.

Clinical Summary

A 76-year-old nonsmoking ex-Royal Navy engineer had a 2-month history of progressive breathlessness and recurrent right-sided bloody effusion. The chest computed tomographic scan showed striking pleural calcification of variable thickness encasing the right lung and a large pleural effusion (Figure 1, A and B). We did not recognize the appearances. Our differential diagnosis included old trauma and tuberculosis, but there was no history of either. Immunohistochemistry of pleural needle biopsy specimens raised suspicion of malignant . . . [Full Text of this Article]






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