Hemoptysis as an Unusual Presenting Symptom: of Invasion of a Descending Thoracic Aortic Aneurysmal Dissection by Lung Cancer

AUTOR(ES)

Tsui, Pang

RESUMO

A 70-year-old woman with a known chronic dissecting aneurysm of the descending thoracic aorta presented with new-onset back pain and hemoptysis. The hemoptysis was thought to be the result of invasion of the bronchial tree by the aneurysm. During surgical repair, a lesion that appeared to be a pulmonary abscess was discovered to be adhering to the aortic tissue, and the patient underwent a localized pulmonary resection. The pathology report of the surgical specimens revealed squamous cell carcinoma of the lung with infiltration of the aortic wall. The patient died of lung cancer 6 months later. Hemoptysis was an unusual presentation in a case of lung cancer that had invaded a stable chronic aortic aneurysm. (Tex Heart Inst J 2002;29:136–9)

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