A huge chest wall angiomatosis with pleural and rib invasion: A case report

Author:

Wang Yu-Chi1ORCID,Lin Yun-Nan1,Chai Chee-Yin2,Li Hsien-Pin3,Chen Yi-Ting2,Kuo Yur-Ren1456

Affiliation:

1. Division of Plastic and Reconstructive Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan

2. Department of Pathology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan

3. Division of Thoracic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan

4. Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan

5. Department of Biological Sciences, National Sun Yat-Sen University, Kaohsiung, Taiwan

6. SingHealth Duke-NUS Musculoskeletal Sciences Academic Clinical Programme, Singapore.

Abstract

Rationale: Angiomatosis is a rare non-neoplastic proliferative vascular lesion that typically develops during childhood or adolescence with a female predominance. Management of angiomatosis is challenging because of the manifestation of a wide variety of lesions as well as their invasive and highly recurrent nature. Patient concerns: We report the case of a 74-year-old man who presented with a right lower back mass that persisted for a decade. The mass progressively enlarged and had been painful in the previous month. Diagnosis: Computed tomography (CT) revealed suspected lipomatous sarcoma with invasion of the ribs, pleurae, and lung parenchyma. The final pathological examination revealed angiomatosis. Interventions: The patient underwent wide composite excision of the tumor along with excision of the pleura and lung nodules in the right lower and middle lobes via video-assisted thoracoscopic surgery (VAST). Fasciocutaneous rotational flap reconstruction was performed immediately after the wide composite excision and video-assisted thoracoscopic surgery (VAST). Outcomes: The patient recovered uneventfully, was discharged without complications, and tolerated the daily activities well. Lessons: Angiomatosis is a rare benign vascular tumor that frequently mimics malignancy. Even if the patient profile does not match the reported epidemiology of this disease, differential diagnosis should be considered. Complete resection is the mainstay of treatment for the prevention of recurrence.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

General Medicine

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5. Treatment of multiple angiomatosis involving the skeleton and the abdominal and thoracic cavities with interferon alpha, thalidomide and zoledronate;Adam;Vnitr Lek,2008

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