Govender D, Pillay S V
Department of Pathology, Nelson R. Mandela School of Medicine, University of Natal, Durban, South Africa.
Pathology. 2001 May;33(2):243-5. doi: 10.1080/00313020120038593.
A 57-year-old man presented with cough, chest pain and dyspnea. Peripheral lung opacities detected radiologically on admission were surgically resected and histologically confirmed as pulmonary infarcts. Subsequent radiological examinations revealed a stricture of the right pulmonary artery with evidence of pulmonary hypertension. The patient was commenced on anticoagulant therapy, which resulted in some clinical improvement. A hilar mass detected later was resected together with the right lung. Pathological examination of the hilar mass revealed a tumour within the lumen of the pulmonary artery causing almost total occlusion of the artery. Histology showed angiosarcomatous and osteosarcomatous areas. The patient is well and disease-free 9 months following resection.
一名57岁男性因咳嗽、胸痛和呼吸困难就诊。入院时影像学检查发现的外周肺混浊经手术切除，组织学确诊为肺梗死。随后的影像学检查显示右肺动脉狭窄并有肺动脉高压证据。患者开始接受抗凝治疗，临床症状有所改善。后来发现的肺门肿块与右肺一并切除。肺门肿块的病理检查显示肺动脉腔内有肿瘤，几乎完全阻塞了动脉。组织学显示有血管肉瘤和骨肉瘤区域。患者在切除术后9个月情况良好，无疾病复发。
