title: Pulmonary artery tumor embolism in a patient with previous fibroblastic osteosarcoma.
abstract: A 48-year-old man was referred for left pulmonary metastasis and a left pulmonary artery embolus. The patient had T-cell acute lymphoblastic leukemia and fibroblastic osteosarcoma. A left pneumonectomy was performed successfully and the histologic report concluded that an embolic deposit of osteosarcoma was present. Pulmonary artery tumor embolism is a rare presentation in patients with previous fibroblastic osteosarcoma. It is important to suspect this diagnosis in a patient with cancer who presents with a pulmonary artery embolus.
authors.affiliation: Department of Cardiothoracic Surgery, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom. silviubuderi@yahoo.com
authors.forename: Silviu
authors.initials: S
authors.lastname: Buderi
authors.forename: Thomas
authors.initials: T
authors.lastname: Theologou
authors.forename: John
authors.initials: J
authors.lastname: Gosney
authors.forename: Michael
authors.initials: M
authors.lastname: Shackcloth
mesh_terms: D001859:Bone Neoplasms / Q000473:pathology* / Q000628:therapy; D017024:Chemotherapy, Adjuvant; D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D006801:Humans; D023821:Limb Salvage / Q000379:methods; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D009360:Neoplastic Cells, Circulating / Q000473:pathology*; D012516:Osteosarcoma / Q000473:pathology* / Q000628:therapy; D011013:Pneumonectomy / Q000379:methods; D011655:Pulmonary Embolism / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome