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- W2023818057 abstract "Nous rapportons l’observation d’un patient âgé de 57 ans, hospitalisé pour une dyspnée d’effort associée à une toux sèche. La radiographie thoracique montrait un pneumothorax droit avec une opacité paracardiaque droite. Un drainage thoracique était alors réalisé permettant un retour du poumon à la paroi. La tomodensitométrie thoracique révélait une masse médiastinopulmonaire supérieure droite prenant le produit de contraste associée à un épaississement nodulaire de la plèvre. Une biopsie scannoguidée de la masse et des nodules pleuraux concluait à un léiomyosarcome pulmonaire. Le décès survenait un mois après la confirmation diagnostique. Bien que le pneumothorax soit un mode de révélation habituel des métastases pulmonaires des sarcomes, il est exceptionnellement associé aux sarcomes pulmonaires primitifs. Notre observation est la seconde publiée, à notre connaissance, de léiomyosarcome pulmonaire primitif révélé par un pneumothorax. We report the case of a 57-year-old patient admitted for dyspnea and dry cough. Thoracic radiograph showed a right pneumothorax and right paracardiac opacity. Thoracic drainage was carried out allowing the return of the lung at the wall. Chest CT-scan revealed right upper mediastinopulmonary mass taking contrast material associated with a nodular thickening of the pleura. CT-guided biopsy of the mass and the pleural nodules concluded to pulmonary leiomyosarcoma. Death occurred one month after diagnosis confirmation. Pneumothorax is a usual mode of revealing sarcoma's pulmonary metastases; however, it is exceptionally associated with primitive pulmonary sarcomas. Our case is the second published case, to our knowledge, of primitive pulmonary leiomyosarcoma presenting with pneumothorax." @default.
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- W2023818057 date "2009-10-01" @default.
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- W2023818057 title "Léiomyosarcome pulmonaire primitif révélé par un pneumothorax spontané" @default.
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- W2023818057 doi "https://doi.org/10.1016/j.pneumo.2009.05.002" @default.
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