| Intimal pulmonary artery sarcoma presenting as severe dyspnea and right heart insufficiency. | |
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MedLine Citation:
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PMID: 20523095 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Pulmonary artery sarcoma is a rare tumor with a poor prognosis. CASE REPORT: We report the case of a 64-year-old man with an intimal pulmonary artery sarcoma presenting with severe high oxygen flow-demanding dyspnea and weight loss of 12 kg in the last 6 months. On echocardiography, right heart insufficiency, markedly elevated right ventricular pressure, a pressure gradient along the right outflow tract, and a tumor mass adherent to the wall of the truncus pulmonalis were detected. The tentative diagnosis by echocardiographic findings was pulmonary artery sarcoma. Computed tomography of the thorax and 18-fluorodeoxyglucose positron emission tomography showed an advanced local tumor manifestation. Surgical resection of the tumor to improve hemodynamics confirmed the diagnosis. CONCLUSIONS: Pulmonary artery sarcoma should be considered as a rare differential diagnosis in patients with dyspnea due to right heart failure, particular in the case of additional weight loss, and echocardiographic examination is a useful first diagnostic approach in establishing the diagnosis. |
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Authors:
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Michael Halank; Christiane Jakob; Martin Kolditz; Gerd Hoeffken; Utz Kappert; Gerhard Ehninger; Matthias Weise |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-05-11 |
Journal Detail:
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Title: Onkologie Volume: 33 ISSN: 1423-0240 ISO Abbreviation: Onkologie Publication Date: 2010 |
Date Detail:
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Created Date: 2010-06-04 Completed Date: 2010-10-25 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7808556 Medline TA: Onkologie Country: Switzerland |
Other Details:
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Languages: eng Pagination: 313-6 Citation Subset: IM |
Affiliation:
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Medizinische Klinik und Poliklinik I, Universitätsklinikum an der TU Dresden, TU Dresden, Germany. Michael.Halank@uniklinikum-dresden.de |
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| MeSH Terms | |
Descriptor/Qualifier:
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Biopsy, Needle Dyspnea / etiology* Echocardiography, Doppler, Color Echocardiography, Transesophageal Fatal Outcome Heart Failure / etiology*, surgery Humans Lung / pathology Lymphatic Metastasis / pathology Male Middle Aged Neoplasm Invasiveness Pneumonectomy Pulmonary Artery / pathology*, surgery Sarcoma / pathology*, surgery Thoracoscopy Tomography, X-Ray Computed Tunica Intima / pathology* Vascular Neoplasms / pathology*, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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