伴有主肺动脉血栓形成的肺血管肉瘤，酷似亚急性肺栓塞伴梗死。

Pulmonary haemangiosarcoma with main pulmonary artery thrombosis imitating subacute pulmonary embolism with infarction.

作者信息

Engelke C, Riedel M, Rummeny E J, Marten K

机构信息

Department of Radiology, Klinikum der TU München, Ismaningerstr 22, 81675 Munich, Germany.

出版信息

Br J Radiol. 2004 Jul;77(919):623-5. doi: 10.1259/bjr/52485284.

DOI:10.1259/bjr/52485284

PMID:15238413

Abstract

We report a patient with subacute pulmonary hypertension caused by unilateral massive pulmonary artery thrombosis due to a pulmonary haemangiosarcoma of the lower lobe with pulmonary arterial and bronchial invasion. The patient was misdiagnosed as having subacute pulmonary embolism and underwent thrombolytic therapy complicated by severe pulmonary haemorrhage. The imaging features of pulmonary artery thrombosis with underlying malignancy and their differential diagnosis are discussed.

摘要

我们报告了一名患有亚急性肺动脉高压的患者，其病因是下叶肺血管肉瘤伴肺动脉和支气管侵犯导致的单侧大面积肺动脉血栓形成。该患者被误诊为亚急性肺栓塞，并接受了溶栓治疗，结果并发严重肺出血。本文讨论了伴有潜在恶性肿瘤的肺动脉血栓形成的影像学特征及其鉴别诊断。