Document Detail

A unique case of pulmonary artery leiomyosarcoma.
MedLine Citation:
PMID:  17225849     Owner:  NLM     Status:  MEDLINE    
Primary pulmonary artery leiomyosarcomas are rare, and the diagnosis is usually confused with other, more common, diseases, especially pulmonary embolism. A 52-year-old male, previously healthy, sustained a cardiac arrest. Chest CT-angiography diagnosed a "saddle embolus". Local thrombolysis was tried without any obvious success. At this point, the possibility of neoplasm was entertained. A cardiac MRI showed a nonhomogeneous mass in the proximal pulmonary artery. Successful surgery was performed, and histological examination of the resected mass was consistent with leiomyosarcoma. A follow-up cardiac MRI showed no residual mass. The dilemma associated with diagnosing pulmonary artery leiomyosarcomas will be discussed.
Kamran Akram; Mark E Silverman; Szilard Voros
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the National Medical Association     Volume:  98     ISSN:  0027-9684     ISO Abbreviation:  J Natl Med Assoc     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2007-01-17     Completed Date:  2007-02-09     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  7503090     Medline TA:  J Natl Med Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1995-7     Citation Subset:  IM    
Atlanta Medical Center, USA.
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MeSH Terms
Diagnosis, Differential
Leiomyosarcoma / diagnosis*,  therapy
Magnetic Resonance Imaging
Middle Aged
Pulmonary Artery*
Pulmonary Embolism / diagnosis
Vascular Neoplasms / diagnosis*,  therapy

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