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酷似右心室流出道血栓的肺动脉内膜肉瘤

Pulmonary Artery Intimal Sarcoma Mimicking Right Ventricular Outflow Tract Thrombus.

作者信息

Shereef Hammam, Nahhas Omar, Galazka Patrycja, Port Steven C, Muthukumar Lakshmi

机构信息

Aurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke's Medical Centers, Milwaukee, Wisconsin, USA.

Division of Cardiovascular Medicine, University of Wisconsin School of Medicine and Public Health, Milwaukee Clinical Campus, Milwaukee, Wisconsin, USA.

出版信息

JACC Case Rep. 2023 Nov 9;28:102101. doi: 10.1016/j.jaccas.2023.102101. eCollection 2023 Dec 20.

DOI:10.1016/j.jaccas.2023.102101
PMID:38204523
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10774768/
Abstract

A 72-year-old man presented with breathlessness and a systolic murmur. Extensive diagnostic work-up revealed a rare pulmonary artery intimal sarcoma mimicking a right ventricular outflow tract thrombus and impacting a cardiac pacemaker lead. Surgical resection, pathology confirmation, and management strategies are discussed, highlighting the challenges of treating this rare malignancy.

摘要

一名72岁男性因呼吸困难和收缩期杂音就诊。全面的诊断检查发现了一种罕见的肺动脉内膜肉瘤，其类似右心室流出道血栓并影响心脏起搏器导线。本文讨论了手术切除、病理确诊及管理策略，强调了治疗这种罕见恶性肿瘤的挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/777c/10774768/e715879403e7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/777c/10774768/bb472ee814c5/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/777c/10774768/e715879403e7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/777c/10774768/bb472ee814c5/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/777c/10774768/e715879403e7/gr1.jpg

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Pulmonary Artery Intimal Sarcoma Mimicking Right Ventricular Outflow Tract Thrombus.酷似右心室流出道血栓的肺动脉内膜肉瘤
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本文引用的文献

1
A case report of primary pulmonary artery intimal sarcoma.原发性肺动脉内膜肉瘤 1 例报告。
Eur J Med Res. 2021 Aug 9;26(1):89. doi: 10.1186/s40001-021-00568-w.
2
A Boulder in the Chest: Case of Massive Pulmonary Artery Sarcoma.胸腔中的巨石：巨大肺动脉肉瘤病例
JACC Case Rep. 2020 Aug 5;2(10):1532-1535. doi: 10.1016/j.jaccas.2020.05.087. eCollection 2020 Aug.
3
Gemcitabine and docetaxel versus doxorubicin as first-line treatment in previously untreated advanced unresectable or metastatic soft-tissue sarcomas (GeDDiS): a randomised controlled phase 3 trial.
吉西他滨与多西他赛对比阿霉素作为既往未治疗的晚期不可切除或转移性软组织肉瘤一线治疗的疗效（GeDDiS）：一项随机对照3期试验
Lancet Oncol. 2017 Oct;18(10):1397-1410. doi: 10.1016/S1470-2045(17)30622-8. Epub 2017 Sep 4.