肺动脉内膜肉瘤酷似复发性肺动脉栓塞。
Pulmonary Artery Intimal Sarcoma Mimics Recurrent Pulmonary Artery Embolism.
作者信息
Ioakeimidou Styliani, Stephan Frank-Peter, Pluess Emanuel, Seeman Marcus, Srivastava David
机构信息
Department of Internal Medicine, Buergerspital Solothurn, Solothum, Switzerland.
Department of Internal Medicine, University Hospital of Zurich, Zurich, Switzerland.
出版信息
Eur J Case Rep Intern Med. 2025 Jun 3;12(7):005150. doi: 10.12890/2025_005150. eCollection 2025.
UNLABELLED
Deep vein thrombosis and pulmonary embolism (PE) are the third most common cardiovascular condition. Pulmonary artery intimal sarcoma (PAIS) is a rare tumour and is often misdiagnosed as a PE. This case report presents a 50-year-old man with fever, dyspnoea, cough and thoracic pain since a month. The patient had a history of two PE episodes. After diagnostic screening for tumour, including laboratory parameters, transthoracic echocardiography, computed tomography scan and positron emission tomography-computed tomography scan, PAIS was diagnosed. Unexplained recurrent PE should raise suspicion of a tumour or PAIS.
LEARNING POINTS
Recurrent pulmonary embolism should raise suspicion for tumours.Imaging and histopathology play a crucial role in diagnosis of pulmonary artery intimal sarcoma.Surgical resection as the primary treatment for pulmonary artery intimal sarcoma.
未标注
深静脉血栓形成和肺栓塞（PE）是第三常见的心血管疾病。肺动脉内膜肉瘤（PAIS）是一种罕见肿瘤，常被误诊为PE。本病例报告介绍了一名50岁男性，自一个月以来出现发热、呼吸困难、咳嗽和胸痛。该患者有两次PE发作史。经过包括实验室参数、经胸超声心动图、计算机断层扫描和正电子发射断层扫描-计算机断层扫描在内的肿瘤诊断筛查后，诊断为PAIS。不明原因的复发性PE应引起对肿瘤或PAIS的怀疑。
学习要点
复发性肺栓塞应引起对肿瘤的怀疑。影像学和组织病理学在肺动脉内膜肉瘤的诊断中起关键作用。手术切除是肺动脉内膜肉瘤的主要治疗方法。
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