A case of pulmonary artery intimal sarcoma diagnosed with multislice CT scan with 3D reconstruction.
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.
Choi
Eui-Young
EY
Division of Cardiology, Internal Medicine, Yongdong Severance Hospital, Yonsei University College of Medicine, 146-92 Dogok-dong, Kangnam-gu, Seoul 135-720, Korea.
Yoon
Young-Won
YW
Kwon
Hyuck Moon
HM
Kim
Dongsoo
D
Park
Byung-Eun
BE
Hong
Yoo-Sun
YS
Koo
Ja-Seung
JS
Kim
Tae-Hoon
TH
Kim
Hyun-Seung
HS
D003937:Diagnosis, Differential; D004452:Echocardiography; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D008875:Middle Aged; D011651:Pulmonary Artery / Q000000981:diagnostic imaging* / Q000473:pathology; D012509:Sarcoma / Q000000981:diagnostic imaging* / Q000473:pathology; D014057:Tomography, X-Ray Computed / Q000379:methods*; D017539:Tunica Intima / Q000000981:diagnostic imaging / Q000473:pathology; D019043:Vascular Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology