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1例接受放化疗的肺动脉内膜肉瘤病例。

A case of intimal sarcoma of the pulmonary artery treated with chemoradiotherapy.

作者信息

Hirose Takashi, Ishikawa Noboru, Hamada Kenji, Inagaki Tomoko, Kusumoto Sojiro, Shirai Takao, Okuda Kentaro, Ohnishi Tsukasa, Kadokura Mitsutaka, Adachi Mitsuru

机构信息

Division of Respiratory and Allergy, Department of Internal Medicine, Showa University School of Medicine, Tokyo, Japan.

出版信息

Intern Med. 2009;48(4):245-9. doi: 10.2169/internalmedicine.48.1560. Epub 2009 Feb 16.

Abstract

We report on a 45-year-old woman with intimal sarcoma of the pulmonary artery. She presented with a chief complaint of shortness of breath. Computed tomography (CT) of the chest showed an intraluminal hypoattenuated area extending from the main pulmonary artery into the right main pulmonary artery and bilateral lobar pulmonary arteries. She underwent resection of the lobulated mass from the pulmonary artery. The tumor was diagnosed as an intimal sarcoma. Although she received chemotherapy with amrubicin and carboplatin when the tumor recurred, the tumor enlarged. After radiotherapy was performed, CT of the chest showed shrinkage of the tumor and the regression of consolidation and ground-glass opacity. Radiotherapy and chemotherapy are treatment option for patients with pulmonary artery sarcoma.

摘要

我们报告了一名45岁患有肺动脉内膜肉瘤的女性。她的主要症状是呼吸急促。胸部计算机断层扫描(CT)显示,从主肺动脉延伸至右主肺动脉及双侧叶肺动脉的管腔内低密度区。她接受了肺动脉分叶状肿块切除术。肿瘤被诊断为内膜肉瘤。尽管肿瘤复发时她接受了氨柔比星和卡铂化疗,但肿瘤仍增大。放疗后,胸部CT显示肿瘤缩小,实变和磨玻璃影消退。放疗和化疗是肺动脉肉瘤患者的治疗选择。

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