{"title":"伪装成难治性肺栓塞的肺动脉肉瘤:病例报告。","authors":"Xinyue Yang, Jianfang Luo, Jiaohua Chen","doi":"10.1177/00368504251330987","DOIUrl":null,"url":null,"abstract":"<p><p>Pulmonary artery sarcoma (PAS) is a rare but aggressive malignancy often misdiagnosed as pulmonary embolism (PE) due to similar clinical presentations. This case report presents an early 40s female with progressive dyspnea, hemoptysis, high pulmonary arterial pressures (112 mmHg), and right heart strain unresponsive to anticoagulation therapy. Imaging findings, including cardiac magnetic resonance and positron emission tomography-computed tomography, ultimately revealed PAS. This case highlights the importance of considering rare etiologies, such as PAS, in patients with PE-like symptoms refractory to standard treatment. Early detection using advanced imaging techniques can improve diagnostic accuracy and outcomes in this rare malignancy.</p>","PeriodicalId":56061,"journal":{"name":"Science Progress","volume":"108 1","pages":"368504251330987"},"PeriodicalIF":2.6000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954558/pdf/","citationCount":"0","resultStr":"{\"title\":\"Pulmonary artery sarcoma masquerading as refractory pulmonary embolism: A case report.\",\"authors\":\"Xinyue Yang, Jianfang Luo, Jiaohua Chen\",\"doi\":\"10.1177/00368504251330987\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Pulmonary artery sarcoma (PAS) is a rare but aggressive malignancy often misdiagnosed as pulmonary embolism (PE) due to similar clinical presentations. This case report presents an early 40s female with progressive dyspnea, hemoptysis, high pulmonary arterial pressures (112 mmHg), and right heart strain unresponsive to anticoagulation therapy. Imaging findings, including cardiac magnetic resonance and positron emission tomography-computed tomography, ultimately revealed PAS. This case highlights the importance of considering rare etiologies, such as PAS, in patients with PE-like symptoms refractory to standard treatment. Early detection using advanced imaging techniques can improve diagnostic accuracy and outcomes in this rare malignancy.</p>\",\"PeriodicalId\":56061,\"journal\":{\"name\":\"Science Progress\",\"volume\":\"108 1\",\"pages\":\"368504251330987\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954558/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Science Progress\",\"FirstCategoryId\":\"103\",\"ListUrlMain\":\"https://doi.org/10.1177/00368504251330987\",\"RegionNum\":4,\"RegionCategory\":\"综合性期刊\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/3/28 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"MULTIDISCIPLINARY SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Science Progress","FirstCategoryId":"103","ListUrlMain":"https://doi.org/10.1177/00368504251330987","RegionNum":4,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/3/28 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"MULTIDISCIPLINARY SCIENCES","Score":null,"Total":0}
Pulmonary artery sarcoma masquerading as refractory pulmonary embolism: A case report.
Pulmonary artery sarcoma (PAS) is a rare but aggressive malignancy often misdiagnosed as pulmonary embolism (PE) due to similar clinical presentations. This case report presents an early 40s female with progressive dyspnea, hemoptysis, high pulmonary arterial pressures (112 mmHg), and right heart strain unresponsive to anticoagulation therapy. Imaging findings, including cardiac magnetic resonance and positron emission tomography-computed tomography, ultimately revealed PAS. This case highlights the importance of considering rare etiologies, such as PAS, in patients with PE-like symptoms refractory to standard treatment. Early detection using advanced imaging techniques can improve diagnostic accuracy and outcomes in this rare malignancy.
期刊介绍:
Science Progress has for over 100 years been a highly regarded review publication in science, technology and medicine. Its objective is to excite the readers'' interest in areas with which they may not be fully familiar but which could facilitate their interest, or even activity, in a cognate field.