Pulmonary Artery Leiomyosarcoma Diagnosed without Delay
| Autor: | Yasuyuki Yoshizawa, Yasunari Miyazaki, Tomonari Amano, Motohisa Yamasaki, Hirokumi Arai, Yumi Sakakibara, Meiyo Tamaoka, Fusahiko Itoh, Katsuo Kojima, Naohiko Inase, Yuki Sumi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Leiomyosarcoma
medicine.medical_specialty Tumor emboli lcsh:RC254-282 Intimal sarcoma medicine.artery medicine Geneva score FDG-PET Lung Pulmonary thromboembolism business.industry Pulmonary artery sarcoma medicine.disease lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens Pulmonary Artery Leiomyosarcoma Pulmonary embolism medicine.anatomical_structure Oncology Pulmonary artery Sarcoma Radiology Differential diagnosis Published: May 2011 business |
| Zdroj: | Case Reports in Oncology Case Reports in Oncology, Vol 4, Iss 2, Pp 287-298 (2011) |
| ISSN: | 1662-6575 |
| Popis: | A 63-year-old female presented with abnormal lung shadows but had, apart from this, few symptoms. Computed tomography (CT) revealed multiple nodules and blockage of the pulmonary artery. She was immediately diagnosed with pulmonary artery sarcoma based on a careful differential diagnosis and underwent surgery. Her tumor was pathologically diagnosed as leiomyosarcoma (i.e. intimal sarcoma). Pulmonary artery sarcoma can be easily confounded with thromboembolism in a clinical setting and some cases are diagnosed post mortem only. In our case, clinical prediction scores (Wells score, Geneva score, and revised Geneva score) for the pulmonary embolism showed low probability. Moreover, chest CT showed uncommon findings for pulmonary thromboembolism, as the nodules were too big for thrombi. Because surgical resection can provide the only hope of long-term survival in cases of pulmonary artery sarcoma, clinicians should consider this possibility in the differential diagnosis of pulmonary embolism. Clinical prediction scores and CT findings might help to reach the correct diagnosis of pulmonary artery sarcoma. |
| Databáze: | OpenAIRE |
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