Respiratory Medicine Case Reports (Jan 2021)

Diffuse alveolar hemorrhage from metastatic cardiac angiosarcoma of the lung successfully treated with paclitaxel chemotherapy: A case report and brief literature review

  • Jieun Yang,
  • Ji Eun Park,
  • Sanghoon Han,
  • Chi Wha Han,
  • Changhwan Kim,
  • Chang Lim Hyun,
  • JeongJae Kim,
  • Jaemin Jo

Journal volume & issue
Vol. 34
p. 101538

Abstract

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Diffuse alveolar hemorrhage (DAH) is a life-threatening syndrome caused by various etiologies. DAH has rarely been reported to be associated with metastatic angiosarcoma. However, due to the rarity of complications, it may not be well-recognized by most clinicians. Herein, we report the case of a 70-year-old man with newly diagnosed metastatic cardiac angiosarcoma presenting with DAH. After an immediate bronchoalveolar lavage study and bronchoscopic biopsy, the patient was successfully treated with paclitaxel chemotherapy. Although most patients with this phenomenon have an extremely grave prognosis in previous literature, our experience showed that appropriate evaluation and treatment may be beneficial.

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