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KMID : 0383820120720020218
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Tuberculosis and Respiratory Diseases
2012 Volume.72 No. 2 p.218 ~ p.222
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A Case of Pulmonary Artery Intimal Sarcoma Masquerading as Pulmonary Embolism
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Kim Jin-Suk
Park Hye-Kyeong
Lee Hye-Ran
Kang Seung-Dae
Bae Sang-Chul
Kim Su-Young
Chang Sun-Hee
Chang Woo-Ik
Kang Seung-Hee
Lee Sung-Soon
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Abstract
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Pulmonary artery intimal sarcoma is a rare tumor with no characteristic symptoms. It is frequently misdiagnosed as pulmonary embolism. We report a case of pulmonary artery intimal sarcoma in a 48-year-old man with dyspnea, cough and blood-tinged sputum. He was initially suspected and treated as a pulmonary embolism. Computed tomography of the chest showed filling defects occupying the entire luminal diameter of the right and left pulmonary artery as well as extraluminal extension of the intraluminal mass. Surgical resection of the tumor confirmed pulmonary artery intimal sarcoma. After surgery, he received 8 cycles of combined chemotherapy consisting of doxorubicin and ifosfamide. After 8 cycles, Computed tomography of the chest showed interval regression of the residual tumor. Radiotherapy was done as total 6,000 cGy for 5 weeks, following the 8th chemotherapy. The patient’s condition was successfully stabilized with chemotherapy and radiotherapy.
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KEYWORD
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Vascular Neoplasms, Sarcoma, Pulmonary Embolism, General Surgery, Chemotherapy, Adjuvant
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