Albadri Zeyad, Khattab Omar
Rosenlund Medical Centers, Jönköping, Sweden.
Ryhov University Hospital, Radiology Department, Jönköping, Sweden.
Eur J Case Rep Intern Med. 2019 Nov 8;6(11):001284. doi: 10.12890/2019_001284. eCollection 2019.
In this case report we describe a 69-year-old male ex-smoker with non-small-cell carcinoma localised within the pulmonary artery, misdiagnosed as pulmonary thromboembolism. This case indicates that non-small-cell carcinoma can be localised within the pulmonary artery. Furthermore, it emphasises the importance of performing a positron emission tomography scan and diagnostic intraluminal biopsy in unexplained lesions in the pulmonary artery to reach the proper diagnosis at the early stages of the disease. The patient is currently undergoing concurrent chemotherapy and radiation therapy.
Tumours within the pulmonary arteries are a rare finding and rarely reported, and are often misdiagnosed as pulmonary thromboembolism.If the diagnosis is unclear a positron emission tomography (PET-CT) scan and intravascular biopsy should be considered at early stages of the presentation.In general, surgery would be the treatment of choice for pulmonary artery tumours but this is not optimal and treatment options remain controversial.
在本病例报告中，我们描述了一名69岁的男性戒烟者，患有位于肺动脉内的非小细胞癌，曾被误诊为肺血栓栓塞症。该病例表明非小细胞癌可位于肺动脉内。此外，它强调了对肺动脉内不明病变进行正电子发射断层扫描和诊断性腔内活检对于在疾病早期阶段做出正确诊断的重要性。该患者目前正在接受同步化疗和放疗。
肺动脉内的肿瘤是一种罕见的发现，报道很少，且常被误诊为肺血栓栓塞症。如果诊断不明确，应在疾病出现的早期阶段考虑进行正电子发射断层扫描（PET-CT）和血管内活检。一般来说，手术是肺动脉肿瘤的首选治疗方法，但这并非最佳选择，治疗方案仍存在争议。
