Document Detail


A case of pulmonary artery intimal sarcoma diagnosed with multislice CT scan with 3D reconstruction.
MedLine Citation:
PMID:  15227746     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pulmonary artery intimal sarcoma is a rare highly lethal disease, with additional retrograde extension to pulmonic valve and right ventricle being an extremely rare condition. It is frequently mistaken for pulmonary thromboembolism. We report a case of 64-year-old woman with progressive dyspnea initially suspected and treated for pulmonary thromboembolism. Her helical chest CT scan with 3 dimensional (3D) reconstruction combined with echocardiography revealed a compacting main pulmonary artery mass extending to the right ventricular outflow tract and the right pulmonary artery. After excision of the mass, the patient's condition improved dramatically, and the pathologic findings revealed pulmonary intimal sarcoma. This report emphasizes that helical chest CT with 3D reconstruction can be an important tool to differentiate the characteristics of pulmonary artery lesions, such as intimal sarcoma and thromboembolism.
Authors:
Eui-Young Choi; Young-Won Yoon; Hyuck Moon Kwon; Dongsoo Kim; Byung-Eun Park; Yoo-Sun Hong; Ja-Seung Koo; Tae-Hoon Kim; Hyun-Seung Kim
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Yonsei medical journal     Volume:  45     ISSN:  0513-5796     ISO Abbreviation:  Yonsei Med. J.     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2004-06-30     Completed Date:  2004-09-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0414003     Medline TA:  Yonsei Med J     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  547-51     Citation Subset:  IM    
Affiliation:
Division of Cardiology, Internal Medicine, Yongdong Severance Hospital, Yonsei University College of Medicine, 146-92 Dogok-dong, Kangnam-gu, Seoul 135-720, Korea.
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MeSH Terms
Descriptor/Qualifier:
Diagnosis, Differential
Echocardiography
Female
Humans
Imaging, Three-Dimensional
Middle Aged
Pulmonary Artery / pathology,  radiography*
Sarcoma / pathology,  radiography*,  ultrasonography
Tomography, X-Ray Computed / methods*
Tunica Intima / pathology,  radiography
Vascular Neoplasms / pathology,  radiography*,  ultrasonography

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