Lugo-Fagundo Elias, Lugo-Fagundo Carolina, Fishman Elliot K
Johns Hopkins Medicine, The Russell H. Morgan Department of Radiology and Radiological Science, 601 North Caroline St, Baltimore, MD 21287, USA.
Radiol Case Rep. 2023 Aug 25;18(11):3840-3843. doi: 10.1016/j.radcr.2023.08.029. eCollection 2023 Nov.
Pulmonary artery intimal sarcomas are rare, malignant tumors often associated with poor prognoses. These highly lethal tumors are difficult to distinguish given their nonspecific symptoms and challenging imaging interpretations, often being misdiagnosed as acute or chronic pulmonary embolisms, tumor emboli, or mediastinal masses. Given the poor survival rate associated with this malignancy and surgical resection is the absolute choice of treatment, early and accurate diagnoses are essential. In this article, we report the case of a 78-year-old female who was diagnosed with a pulmonary artery intimal sarcoma. We focus on optimizing diagnosis and management through the application of radiological imaging modalities, specifically computed tomography angiography scans.
肺动脉内膜肉瘤是一种罕见的恶性肿瘤,通常预后较差。这些高致死性肿瘤因其非特异性症状和具有挑战性的影像学解读而难以鉴别,常被误诊为急性或慢性肺栓塞、肿瘤栓子或纵隔肿块。鉴于这种恶性肿瘤的生存率较低,而手术切除是绝对的治疗选择,早期准确的诊断至关重要。在本文中,我们报告了一例78岁女性被诊断为肺动脉内膜肉瘤的病例。我们着重通过应用放射影像学检查手段,特别是计算机断层血管造影扫描,来优化诊断和治疗。