Difficulties in establishing a timely diagnosis of pulmonary artery sarcoma misdiagnosed as chronic thrombo-embolic pulmonary disease: a case report

Autor: Djordjevic Ivanka, Pejcic Tatjana, Rancic Milan, Radovic Milan, Bosnjakovic Petar, Radjenovic-Petkovic Tatjana, Nastasijevic-Borovac Desa, Golubovic Slavica, Dacic Dragana
Jazyk: angličtina
Rok vydání: 2009
Předmět:
Zdroj: Journal of Medical Case Reports, Vol 3, Iss 1, p 64 (2009)
Druh dokumentu: article
ISSN: 1752-1947
DOI: 10.1186/1752-1947-3-64
Popis: Abstract Introduction Pulmonary artery sarcomas are rare neoplasms that are often confused with chronic thrombo-embolic disease, as both can have similar clinical and imaging presentation. Case presentation In this report, we present a case of a 50-year-old man initially diagnosed with chronic thrombo-embolic pulmonary disease, but who was later found to have pulmonary artery sarcoma with poor survival prognosis. We review the clinical and imaging characteristics of the two diseases and discuss the difficulties in establishing a timely diagnosis. Conclusion Similar clinical features and imaging presentation of pulmonary artery sarcoma and chronic thrombo-embolic pulmonary disease make definitive diagnosis difficult. This case report also illustrates and emphasizes that in any case with no predisposition factors for embolism, no evidence of deep venous thrombosis and pulmonary emboli, and inadequate relief of symptoms with anticoagulation, an alternative diagnosis of pulmonary artery sarcoma should be considered. If pulmonary artery sarcoma is diagnosed late in the course of the disease, there is usually a poor survival outcome.
Databáze: Directory of Open Access Journals