Tuberc Respir Dis > Volume 72(2); 2012 > Article
Tuberculosis and Respiratory Diseases 2012;72(2):218-222.
DOI: https://doi.org/10.4046/trd.2012.72.2.218    Published online February 1, 2012.
A Case of Pulmonary Artery Intimal Sarcoma Masquerading as Pulmonary Embolism.
Jin Suk Kim, Hye Kyeong Park, Hye Ran Lee, Seung Dae Kang, Sang Chul Bae, Su Young Kim, Sun Hee Chang, Woo Ik Chang, Seung Hee Kang, Sung Soon Lee
1Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea. LeeSS@paik.ac.kr
2Department of Radiology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
3Department of Pathology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
4Department of Cardiosurgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
5Department of Radiation Oncology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
Abstract
Pulmonary artery intimal sarcoma is a rare tumor with no characteristic symptoms. It is frequently misdiagnosed as pulmonary embolism. We report a case of pulmonary artery intimal sarcoma in a 48-year-old man with dyspnea, cough and blood-tinged sputum. He was initially suspected and treated as a pulmonary embolism. Computed tomography of the chest showed filling defects occupying the entire luminal diameter of the right and left pulmonary artery as well as extraluminal extension of the intraluminal mass. Surgical resection of the tumor confirmed pulmonary artery intimal sarcoma. After surgery, he received 8 cycles of combined chemotherapy consisting of doxorubicin and ifosfamide. After 8 cycles, Computed tomography of the chest showed interval regression of the residual tumor. Radiotherapy was done as total 6,000 cGy for 5 weeks, following the 8th chemotherapy. The patient's condition was successfully stabilized with chemotherapy and radiotherapy.
Key Words: Vascular Neoplasms, Sarcoma, Pulmonary Embolism, General Surgery, Chemotherapy, Adjuvant


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