一例罕见的肺动脉内膜肉瘤：诊断挑战和多模式方法。

IF 1.4 4区医学 Q3 ACOUSTICS

Journal of Clinical Ultrasound Pub Date : 2025-10-13 DOI:10.1002/jcu.70098

Shaofeng Wu, Yanting Lin, Meirong Huang, Xiaochuan Huang, Yuanyuan Jiang

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引用次数: 0

摘要

肺动脉内膜肉瘤（PAIS）是一种罕见且高度侵袭性的恶性肿瘤。由于非特异性的临床症状、影像学特征和实验室检查结果，PAIS经常被误诊为肺栓塞（PE），导致诊断延误和预后不良。多模式成像，包括超声心动图，正电子发射断层扫描-计算机断层扫描（PET/CT）和组织病理学，是准确诊断的关键。我们报告一例不典型表现的PAIS，旨在提高早期临床识别，并强调多模式方法在PAIS患者早期诊断中的作用。

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A Rare Case of Pulmonary Artery Intimal Sarcoma: Diagnostic Challenges and Multimodal Approach.

Pulmonary artery intimal sarcoma (PAIS) is a rare and highly aggressive malignancy. Due to nonspecific clinical symptoms, imaging features, and laboratory findings, PAIS is frequently misdiagnosed as pulmonary embolism (PE), leading to delayed diagnosis and poor prognosis. Multimodal imaging, including echocardiography, Positron Emission Tomography-Computed Tomography (PET/CT), and histopathology, is critical for accurate diagnosis. We present a case of PAIS with atypical manifestations, aiming to improve early clinical recognition and emphasize the role of a multimodal approach in early diagnosis for PAIS patients.

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来源期刊

Journal of Clinical Ultrasound 医学-核医学

CiteScore

1.90

自引率

0.00%

发文量

248

审稿时长

6 months

期刊介绍： The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.