Widera Eric, Sulica Roxana
Cardiovascular Institute, Department of Medicine, Mount Sinai School of Medicine, New York, NY 10029, USA.
Mt Sinai J Med. 2005 Nov;72(6):360-4.
Pulmonary artery sarcomas are rare neoplasms of the pulmonary artery that are often confused with chronic thromboembolic disease, as both diseases have similar presentations. In patients with presumed chronic thromboembolic pulmonary hypertension, certain clinical and imaging characteristics may suggest the alternative diagnosis of pulmonary artery sarcoma. In this article we present a case of a man initially diagnosed with chronic thromboembolic pulmonary hypertension, but who was later found to have pulmonary artery sarcoma. We review the distinguishing characteristics of the two diseases and discuss possible treatment strategies.
肺动脉肉瘤是一种罕见的肺动脉肿瘤,常与慢性血栓栓塞性疾病相混淆,因为这两种疾病有相似的表现。在疑似慢性血栓栓塞性肺动脉高压的患者中,某些临床和影像学特征可能提示肺动脉肉瘤的诊断。本文介绍了一例最初被诊断为慢性血栓栓塞性肺动脉高压,但后来被发现患有肺动脉肉瘤的男性病例。我们回顾了这两种疾病的鉴别特征,并讨论了可能的治疗策略。