Fukai Ryuta, Rokkaku Kyu, Irie Yoshihito, Imazeki Takao, Katada Yoshiaki, Watanabe Hiroyoshi, Ueda Yoshihiko, Miyamoto Hideaki, Chida Masayuki
Ryuta Fukai, Kyu Rokkaku, Yoshihito Irie, Takao Imazeki, Department of Cardiovascular and Thoracic Surgery, Dokkyo Medical University Koshigaya Hospital, Koshigaya 343-8555, Japan.
World J Clin Oncol. 2013 Nov 10;4(4):102-5. doi: 10.5306/wjco.v4.i4.102.
Pulmonary artery sarcoma (PAS) is a rare and lethal neoplasm that is usually diagnosed during surgery or autopsy. Early diagnosis and radical surgical resection offer the only chance for survival. However, making a preoperative histopathological diagnosis is quite difficult. We encountered a 57-year-old woman presenting a PAS that mimicked a pulmonary thromboembolism. After confirming a definitive diagnosis using a catheter suction biopsy, we successfully performed a right pneumonectomy via a median sternotomy without cardiopulmonary bypass. Eighteen months after surgery, no recurrence was observed.
肺动脉肉瘤（PAS）是一种罕见的致命性肿瘤，通常在手术或尸检时被诊断出来。早期诊断和根治性手术切除是生存的唯一机会。然而，术前进行组织病理学诊断相当困难。我们遇到一名57岁女性，其肺动脉肉瘤表现类似肺血栓栓塞症。在通过导管抽吸活检确诊后，我们成功地经正中胸骨切开术在非体外循环下进行了右肺切除术。术后18个月，未见复发。
