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以肺肿瘤栓塞形式表现的下肢黏液纤维肉瘤:一例报告

Lower Limb Myxofibrosarcoma Presenting as a Pulmonary Tumour Embolism: A Case Report.

作者信息

John Hritik J, White Samuel J, Byrapu Pallavi, Raju Smita

机构信息

Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, AUS.

Department of Radiology, Royal Adelaide Hospital, Adelaide, AUS.

出版信息

Cureus. 2025 May 21;17(5):e84535. doi: 10.7759/cureus.84535. eCollection 2025 May.

DOI:10.7759/cureus.84535
PMID:40546552
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12180094/
Abstract

Pulmonary tumour embolism is a rare complication of malignancy and should be considered a differential diagnosis if imaging features are atypical for a bland thrombus. It can arise from a range of primary tumours, including soft tissue sarcomas; however, reported cases are sparse. We present a case of pulmonary tumour embolism secondary to a large right knee myxofibrosarcoma, with diagnosis confirmed following biopsy of a pulmonary nodule and a palpable inguinal lymph node.

摘要

肺肿瘤栓塞是恶性肿瘤的一种罕见并发症,如果影像学特征不符合单纯血栓表现,则应考虑将其作为鉴别诊断。它可源于一系列原发性肿瘤,包括软组织肉瘤;然而,报道的病例较少。我们报告一例继发于右膝巨大黏液纤维肉瘤的肺肿瘤栓塞病例,经肺结节及可触及的腹股沟淋巴结活检确诊。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de93/12180094/243560d10f43/cureus-0017-00000084535-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de93/12180094/0e2b4eb9f4b8/cureus-0017-00000084535-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de93/12180094/fba795f67868/cureus-0017-00000084535-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de93/12180094/667e24ce2599/cureus-0017-00000084535-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de93/12180094/93d8a5610d84/cureus-0017-00000084535-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de93/12180094/08dc7d79feea/cureus-0017-00000084535-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de93/12180094/a32842d9081b/cureus-0017-00000084535-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de93/12180094/243560d10f43/cureus-0017-00000084535-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de93/12180094/0e2b4eb9f4b8/cureus-0017-00000084535-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de93/12180094/fba795f67868/cureus-0017-00000084535-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de93/12180094/667e24ce2599/cureus-0017-00000084535-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de93/12180094/93d8a5610d84/cureus-0017-00000084535-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de93/12180094/08dc7d79feea/cureus-0017-00000084535-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de93/12180094/a32842d9081b/cureus-0017-00000084535-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de93/12180094/243560d10f43/cureus-0017-00000084535-i07.jpg

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本文引用的文献

1
Nontrombotic Pulmonary Embolism: Different Etiology, Same Significant Consequences.非血栓性肺栓塞:病因各异,后果相同严重
J Pers Med. 2023 Jan 23;13(2):202. doi: 10.3390/jpm13020202.
2
Myxofibrosarcoma landscape: diagnostic pitfalls, clinical management and future perspectives.黏液纤维肉瘤概况:诊断陷阱、临床管理及未来展望
Ther Adv Med Oncol. 2022 Jun 28;14:17588359221093973. doi: 10.1177/17588359221093973. eCollection 2022.
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Tumor thrombus: incidence, imaging, prognosis and treatment.肿瘤血栓:发病率、影像学、预后及治疗
Cardiovasc Diagn Ther. 2017 Dec;7(Suppl 3):S165-S177. doi: 10.21037/cdt.2017.09.16.
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Pulmonary tumor embolism secondary to soft tissue and bone sarcomas: a case report and literature review.软组织肉瘤和骨源性肉瘤继发肺肿瘤栓塞 1 例报告并文献复习
World J Surg Oncol. 2017 Aug 30;15(1):168. doi: 10.1186/s12957-017-1223-3.
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Nonthrombotic pulmonary embolism.非血栓性肺栓塞。
AJR Am J Roentgenol. 2012 Feb;198(2):W152-9. doi: 10.2214/AJR.11.6407.
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Tree-in-bud pattern.树芽征
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Nonthrombotic pulmonary embolism.非血栓性肺栓塞
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Myxofibrosarcoma of the hypopharynx.
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