Liu Xiaojing, Hou Jun, Wang Xiangdong, Chen Zhihong
Respiratory Division of Zhongshan Hospital Shanghai Institute of Respiratory Disease, Fudan University Shanghai China.
Department of Internal Medicine of Zhongshan Hospital Fudan University Shanghai China.
Respirol Case Rep. 2017 Jun 28;5(5):e00248. doi: 10.1002/rcr2.248. eCollection 2017 Sep.
Pulmonary artery intimal sarcoma is a highly aggressive disease, and is most often misdiagnosed as pulmonary thromboembolism (PTE) due to the similar clinical symptoms and its rarity, which leads to the use of inappropriate treatments such as prolonged anticoagulant therapy. We reported a case of pulmonary artery intimal sarcoma in a patient who was misdiagnosed as having PTE. Pathology after surgery confirmed malignant disease. We concluded that when a patient presents with mild clinical manifestations yet with strong imaging manifestations, pulmonary artery malignancy should be suspected.
肺动脉内膜肉瘤是一种侵袭性很强的疾病，由于其临床症状相似且罕见，常被误诊为肺血栓栓塞症（PTE），这导致使用了不恰当的治疗方法，如长期抗凝治疗。我们报告了一例被误诊为PTE的肺动脉内膜肉瘤患者。手术后的病理证实为恶性疾病。我们得出结论，当患者临床表现轻微但影像学表现强烈时，应怀疑肺动脉恶性肿瘤。
