Pulmonary artery sarcoma diagnosed by endobronchial ultrasound-guided transbronchial needle aspiration.
Pulmonary artery sarcoma is a rare disease with poor prognosis that has not been reported in Hong Kong. Its clinical and radiological presentation frequently mimics pulmonary embolism. Diagnosis is usually delayed until surgery, which is the treatment option that provides the best survival. Endobronchial ultrasound-guided transbronchial needle aspiration is an effective non-surgical technique for lymph node staging of lung cancer and diagnosis of mediastinal lesions via bronchoscopy. Here we discuss a case of pulmonary artery sarcoma diagnosed by this method, the second one in the literature, which serves to illustrate its potential use for early and minimally invasive diagnosis of the condition. Although such aspiration is a safe procedure, tissue sampling of extravascular extensions is advisable wherever possible.
Department of Medicine, Queen Elizabeth Hospital, Jordan, Hong Kong.
Johnny W M
JW
Chan
Department of Medicine, Queen Elizabeth Hospital, Jordan, Hong Kong.
Stephanie Y Y
SY
Chu
Department of Medicine, Queen Elizabeth Hospital, Jordan, Hong Kong.
Connie H K
CH
Lam
Department of Medicine, Queen Elizabeth Hospital, Jordan, Hong Kong.
W H
WH
O
Department of Pathology, Queen Elizabeth Hospital, Jordan, Hong Kong.
O Y
OY
Cheung
Department of Radiology and Imaging, Queen Elizabeth Hospital, Jordan, Hong Kong.
T L
TL
Kwan
Department of Clinical Oncology, Queen Elizabeth Hospital, Jordan, Hong Kong.
Alex K C
AK
Leung
Department of Medicine, Queen Elizabeth Hospital, Jordan, Hong Kong.
W L
WL
Law
D000368:Aged; D044963:Biopsy, Fine-Needle / Q000379:methods*; D001999:Bronchoscopy; D005260:Female; D006801:Humans; D011651:Pulmonary Artery / Q000473:pathology*; D012509:Sarcoma / Q000473:pathology*; D018084:Ultrasonography, Interventional; D019043:Vascular Neoplasms / Q000473:pathology*
Bronchoscopy; Pulmonary artery; Ultrasonography, interventional