지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 영남대학교 의과대학 Journal of Yeungnam Medical Science Yeungnam University Journal of Medicine 제34권 제2호
- 발행연도
- 2017.1
- 수록면
- 279 - 284 (6page)
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초록· 키워드
오류제보하기
Pulmonary artery sarcoma (PAS) is a rare and fatal disease that often mimics chronic thromboembolic pulmonary hypertension (CTEPH); therefore, diagnosis of PAS is often delayed. Herein, a healthy 74-year-old man was presented with a 4-month history of dyspnea. Chest computed tomography showed wall thickening and stenosis in the main pulmonary artery as well as in both proximal pulmonary arteries. In order to differentiate between unusual CTEPH, vasculitis, and PAS, we performed right heart catheterization and pulmonary angiography. The mean pulmonary arterial pressure was 21 mmHg, and there was severe pulmonary artery stenosis. Thrombi on the pulmonary arterial wall lesions were observed in intravascular ultrasound and optical coherence tomography. Furthermore, the patient had a history of deep vein thrombosis. Therefore, we diagnosed unusual CTEPH. After 6 months of rivaroxaban anticoagulation therapy, a chest X-ray revealed a left lower lobe lung mass, and a positron emission tomography later showed hypermetabolic lesions in the main pulmonary artery wall, in both pulmonary arteries walls, in the lung parenchyma, and in the bones.
A biopsy of the right proximal humerus lesion revealed undifferentiated intimal sarcoma. Pulmonary sarcoma is rare, but should be considered when differentially diagnosing main pulmonary artery wall thickening and stenosis. A positron emission tomography may aid in this diagnosis
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Blackmon SH / 2009 / Management of primary pulmonary artery sarcomas / Ann Thorac Surg 87 : 977 ~ 984
Chang S / 2016 / Dual-energy CT-based iodine quantification for differentiating pulmonary artery sarcoma from pulmonary thromboembolism:a pilot study / Eur Radiol 26 : 3162 ~
Hariri LP / 2015 / Diagnosing lung carcinomas with optical cohe0rence tomography / Ann Am Thorac Soc 12 : 193 ~ 201
Ito K / 2009 / Diagnostic usefulness of 18F-FDG PET/CT in the differentiation of pulmonary artery sarcoma and pulmonary embolism / Ann Nucl Med 23 : 671 ~ 676
Jiang X / 2016 / Optical coherence tomography for hypertensive pulmonary vasculature / Int J Cardiol 222 : 494 ~ 498
Chang S / 2016 / Dual-energy CT-based iodine quantification for differentiating pulmonary artery sarcoma from pulmonary thromboembolism:a pilot study / Eur Radiol 26 : 3162 ~
Hariri LP / 2015 / Diagnosing lung carcinomas with optical cohe0rence tomography / Ann Am Thorac Soc 12 : 193 ~ 201
Ito K / 2009 / Diagnostic usefulness of 18F-FDG PET/CT in the differentiation of pulmonary artery sarcoma and pulmonary embolism / Ann Nucl Med 23 : 671 ~ 676
Jiang X / 2016 / Optical coherence tomography for hypertensive pulmonary vasculature / Int J Cardiol 222 : 494 ~ 498
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