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J Thorac Dis. 2012 Oct;4(5):508-11. doi: 10.3978/j.issn.2072-1439.2012.08.14.

A case of chronic expanding hematoma resulting in fatal hemoptysis.

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1
Department of Chest Surgery, Toho University Omori Medical Center, Tokyo, Japan;

Abstract

An 80-year-old woman presented with a huge intrathoracic mass which had increased in size over 4 years. Computed tomography showed a thick calcified capsule and early-enhanced streaks inside the mass. Needle biopsy aspirated pure blood and fibrous connective tissue. F-18 fluorodeoxyglucose positron-emission tomography showed moderate FDG uptake at the periphery with central photon defects. Gallium-67 scintigraphy showed no abnormal uptake. On suspicion of chronic expanding hematoma, we recommended surgical resection, but the patient requested only follow-up. One year later, she was hospitalized with cardiac tamponade and subsequent massive hemoptysis. Repeated embolization was ineffective, and the patient soon succumbed.

KEYWORDS:

Chronic expanding hematoma; fluorodeoxyglucose F18 positron-emission tomography; gallium-67 scintigraphy; pyothorax associated lymphoma; trans-arterial embolization

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