A Rare Case of Pulmonary Artery Sarcoma.

Vera Brazão Carvalho, João Roque Almeida, Cecília Leal
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Abstract

Pulmonary artery sarcoma (PAS) is a rare and aggressive mesenchymal tumor with an overall poor prognosis1-5. Due to similar clinical and radiologic findings, PAS is often misdiagnosed as a pulmonary embolism (PE) frequently leading to prolonged anticoagulation therapy, which delays the correct diagnosis 1-3. By presenting this clinical case our objective is to emphasize characteristic CT findings that favour a neoplastic origin of a pulmonary intravascular filling defect. PET-CT and MRI have also an important potential role in its diagnosis and therapeutical management.

肺动脉肉瘤的罕见病例
肺动脉肉瘤(PAS)是一种罕见的侵袭性间叶肿瘤,总体预后较差1-5。由于相似的临床和影像学发现,肺动脉肉瘤常被误诊为肺栓塞(PE),导致长期抗凝治疗,从而延误了正确诊断1-3。通过介绍这一临床病例,我们的目的是强调有利于肺血管内充盈缺损的肿瘤性来源的特征性 CT 结果。PET-CT 和 MRI 在诊断和治疗管理中也具有重要的潜在作用。
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