Yamamoto Kei, Nozue Tsuyoshi, Tsuchida Masayuki, Iwaki Taku, Nagamine Hiroshi, Yasuda Tamotsu, Kawase Hiroshi, Matsushita Kazuhiko, Michishita Ichiro
Division of Cardiology, Department of Internal Medicine, Yokohama Sakae Kyosai Hospital, Federation of National Public Service Personnel Mutual Associations, Japan.
Intern Med. 2012;51(21):3031-4. doi: 10.2169/internalmedicine.51.7558. Epub 2012 Nov 1.
We herein report the case of a 39-year-old woman with a pulmonary embolism caused by intimal sarcoma of the pulmonary artery. She presented with shortness of breath and leg edema. Computed tomography showed a low density area that extended from the main pulmonary artery to the bilateral pulmonary arteries. We diagnosed her to have a pulmonary thromboembolism. The thrombosis did not decrease after the administration of anti-coagulant therapy, and she underwent resection of the thrombotic tissue. Histopathologically, the surgical specimen was not found to be thrombotic tissue but rather an intimal sarcoma of the pulmonary artery. After undergoing surgery, she received radiation therapy and chemotherapy; however, she died 31 months after being diagnosed.
我们在此报告一例39岁女性，患有由肺动脉内膜肉瘤引起的肺栓塞。她表现为呼吸急促和腿部水肿。计算机断层扫描显示一个低密度区域，从主肺动脉延伸至双侧肺动脉。我们诊断她患有肺血栓栓塞症。抗凝治疗后血栓并未减少，她接受了血栓组织切除术。组织病理学检查发现手术标本并非血栓组织，而是肺动脉内膜肉瘤。手术后，她接受了放射治疗和化疗；然而，她在确诊后31个月去世。
