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Case Reports
. 2017 Mar 22:2017:bcr2016219048.
doi: 10.1136/bcr-2016-219048.

Pulmonary Kaposi sarcoma presenting as complete lung consolidation

Ahmad Alwassia  1 , Ziyad Alshathri  1 , Rahul Khosla  2 , Samuel V Spagnolo  2
Affiliations
Case Reports

Pulmonary Kaposi sarcoma presenting as complete lung consolidation

Ahmad Alwassia et al. BMJ Case Rep. .

Abstract

The patient in our case presented with progressive dyspnoea and cough. Chest radiograph reveals complete opacification of the hemithorax. Complete lung consolidation was not seen on chest CT. The patient in this case had extensive pulmonary and endobronchial Kaposi sarcoma (KS) that led to complete consolidation of the right lung that was diagnosed via bronchoscopy. After diagnosis, he was restarted on antiretroviral therapy and single-agent chemotherapy for treatment of pulmonary KS.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Chest radiograph with complete opacification of the right hemithorax, and multiple nodular opacities in the left lung field.
Figure 2
Figure 2
CT chest showing complete consolidation of the right lung with airbronchograms, right pleural effusion and multiple nodular opacities in the left lung centred around the bronchovascular bundles.
Figure 3
Figure 3
Bronchoscopic view showing narrowed right middle and lower lobe bronchi with diffuse red vascular lesions, biopsy forceps are in the right side of the image.
Figure 4
Figure 4
Histology of the endobronchial biopsy sample. (A) Spindle cells noted with ectatic blood vessels. (B) Spindle cells stain positive for CD31, CD34 in (C) and HHV-8 in (D).
Figure 5
Figure 5
CT chest 4 weeks after initiation of chemotherapy.
See this image and copyright information in PMC

References

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