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肺内膜肉瘤：胸部CT上动脉充盈缺损的一种罕见鉴别诊断。

Pulmonary intimal sarcoma: a rare differential diagnosis for arterial filling defects on a chest CT.

作者信息

Ebner Lukas, Huber Adrian, Ott Daniel, Christe Andreas

机构信息

Inselspital, University Hospital Bern, Departement for Diagnostic, Pediatric and Interventional Radiology, Bern, Switzerland.

出版信息

Acta Radiol Short Rep. 2014 Feb 25;3(2):2047981613514052. doi: 10.1177/2047981613514052. eCollection 2014 Feb.

DOI:10.1177/2047981613514052
PMID:24778802
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4001433/
Abstract

We present a rare case of pulmonary intimal sarcoma mimicking pulmonary embolism in a 40-year-old woman. Although extremely rare, these tumors must be considered in patients who present inappropriate imaging findings that suggest embolism. Chest computed tomography is the modality of choice to determine the extent of the tumor. We present a female patient with suspected embolism that was in fact found to be an endothelial sarcoma of the pulmonary arteries.

摘要

我们报告了一例罕见的肺内膜肉瘤病例，该病例发生在一名40岁女性身上，临床表现酷似肺栓塞。尽管极为罕见，但对于那些影像学检查结果提示为栓塞但又不符合典型表现的患者，必须考虑到这些肿瘤的可能性。胸部计算机断层扫描是确定肿瘤范围的首选检查方法。我们介绍了一名疑似肺栓塞的女性患者，实际上最终发现是肺动脉内皮肉瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0771/4001433/0e5956ae7e83/10.1177_2047981613514052-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0771/4001433/1ab43d5f546a/10.1177_2047981613514052-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0771/4001433/ef70cf305367/10.1177_2047981613514052-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0771/4001433/18fca04658c0/10.1177_2047981613514052-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0771/4001433/0e5956ae7e83/10.1177_2047981613514052-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0771/4001433/1ab43d5f546a/10.1177_2047981613514052-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0771/4001433/ef70cf305367/10.1177_2047981613514052-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0771/4001433/18fca04658c0/10.1177_2047981613514052-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0771/4001433/0e5956ae7e83/10.1177_2047981613514052-fig4.jpg

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本文引用的文献

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Pulmonary artery intimal sarcoma. Problems in the differential diagnosis.肺动脉内膜肉瘤。鉴别诊断中的问题。
Radiol Med. 2013 Dec;118(8):1259-68. doi: 10.1007/s11547-013-0943-x. Epub 2013 Jun 25.
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