DOI QR코드

DOI QR Code

PULMONARY ARTERY ANGIOSARCOMA CONFUSED WITH ACUTE PULMONARY THROMBOEMBOLISM: FOCUSING ON CLINICAL AND ECHOCARDIOGRAPHIC FEATURES IN THE DIFFERENTIATION OF TWO CATEGORIES

  • KIM, MI JOO (DEPARTMENT OF CARDIOLOGY IN INTERNAL MEDICINE, CHUNGNAM NATIONAL UNIVERSITY SCHOOL OF MEDICINE, CHUNGNAM NATIONAL UNIVERSITY HOSPITAL) ;
  • KIM, MIN SU (DEPARTMENT OF CARDIOLOGY IN INTERNAL MEDICINE, CHUNGNAM NATIONAL UNIVERSITY SCHOOL OF MEDICINE, CHUNGNAM NATIONAL UNIVERSITY HOSPITAL) ;
  • PARK, JAE-HYEONG (DEPARTMENT OF CARDIOLOGY IN INTERNAL MEDICINE, CHUNGNAM NATIONAL UNIVERSITY SCHOOL OF MEDICINE, CHUNGNAM NATIONAL UNIVERSITY HOSPITAL) ;
  • PARK, KWANG-IN (DEPARTMENT OF CARDIOLOGY IN INTERNAL MEDICINE, CHUNGNAM NATIONAL UNIVERSITY SCHOOL OF MEDICINE, CHUNGNAM NATIONAL UNIVERSITY HOSPITAL) ;
  • LEE, CHOONG-SIK (DEPARTMENT OF PATHOLOGY, CHUNGNAM NATIONAL UNIVERSITY SCHOOL OF MEDICINE, CHUNGNAM NATIONAL UNIVERSITY HOSPITAL) ;
  • NA, MYUNG HOON (DEPARTMENT OF THORACIC SURGERY, CHUNGNAM NATIONAL UNIVERSITY SCHOOL OF MEDICINE, CHUNGNAM NATIONAL UNIVERSITY HOSPITAL) ;
  • LEE, JAE-HWAN (DEPARTMENT OF CARDIOLOGY IN INTERNAL MEDICINE, CHUNGNAM NATIONAL UNIVERSITY SCHOOL OF MEDICINE, CHUNGNAM NATIONAL UNIVERSITY HOSPITAL) ;
  • CHOI, SI WAN (DEPARTMENT OF CARDIOLOGY IN INTERNAL MEDICINE, CHUNGNAM NATIONAL UNIVERSITY SCHOOL OF MEDICINE, CHUNGNAM NATIONAL UNIVERSITY HOSPITAL) ;
  • JEONG, JIN-OK (DEPARTMENT OF CARDIOLOGY IN INTERNAL MEDICINE, CHUNGNAM NATIONAL UNIVERSITY SCHOOL OF MEDICINE, CHUNGNAM NATIONAL UNIVERSITY HOSPITAL) ;
  • SEONG, IN-WHAN (DEPARTMENT OF CARDIOLOGY IN INTERNAL MEDICINE, CHUNGNAM NATIONAL UNIVERSITY SCHOOL OF MEDICINE, CHUNGNAM NATIONAL UNIVERSITY HOSPITAL)
  • Received : 2014.07.25
  • Accepted : 2015.02.27
  • Published : 2015.03.27

Abstract

Although pulmonary artery angiosarcoma is rare, it can be misdiagnosed as pulmonary embolism because of its similar clinical and diagnostic features. The diagnosis is often delayed and the misdiagnosis brings unnecessary treatment. Because we made a wrong diagnosis of pulmonary artery angiosarcoma as an acute pulmonary embolism, we did thrombolytic therapy which could be dangerous to the patient. In this case report, we focused on the clinical and echocardiographic features of pulmonary artery angiosarcoma which can be used in differentiating the diagnosis from pulmonary embolism.

Keywords

References

  1. Nonomura A, Kurumaya H, Kono N, Nakanuma Y, Ohta G, Terahata S, Matsubara F, Matsuda T, Asaka T, Nishino T. Primary pulmonary artery sarcoma. Report of two autopsy cases studied by immunohisto-chemistry and electron microscopy, and review of 110 cases reported in the literature. Acta Pathol Jpn 1988;38:883-96.
  2. Anderson MB, Kriett JM, Kapelanski DP, Tarazi R, Jamieson SW. Primary pulmonary artery sarcoma: a report of six cases. Ann Thorac Surg 1995;59:1487-90. https://doi.org/10.1016/0003-4975(95)00149-F
  3. Bleisch VR, Kraus FT. Polypoid sarcoma of the pulmonary trunk: analysis of the literature and report of a case with leptomeric organelles and ultrastructural features of rhabdomyosarcoma. Cancer 1980;46:314-24. https://doi.org/10.1002/1097-0142(19800715)46:2<314::AID-CNCR2820460217>3.0.CO;2-T
  4. Blackmon SH, Rice DC, Correa AM, Mehran R, Putnam JB, Smythe WR, Walkes JC, Walsh GL, Moran C, Singh H, Vaporciyan AA, Reardon M. Management of primary pulmonary artery sarcomas. Ann Thorac Surg 2009;87:977-84. https://doi.org/10.1016/j.athoracsur.2008.08.018
  5. Tschirch FT, Del Grande F, Marincek B, Huisman TA. Angiosarcoma of the pulmonary trunk mimicking pulmonary thromboembolic disease. A case report. Acta Radiol 2003;44:504-7.
  6. Huo L, Lai S, Gladish G, Czerniak BA, Moran CA. Pulmonary artery angiosarcoma: a clinicopathologic and radiological correlation. Ann Diagn Pathol 2005;9:209-14. https://doi.org/10.1016/j.anndiagpath.2005.04.012
  7. Cox JE, Chiles C, Aquino SL, Savage P, Oaks T. Pulmonary artery sarcomas: a review of clinical and radiologic features. J Comput Assist Tomogr 1997;21:750-5. https://doi.org/10.1097/00004728-199709000-00018
  8. Wittlich N, Erbel R, Eichler A, Schuster S, Jakob H, Iversen S, Oelert H, Meyer J. Detection of central pulmonary artery thromboemboli by transesophageal echocardiography in patients with severe pulmonary embolism. J Am Soc Echocardiogr 1992;5:515-24. https://doi.org/10.1016/S0894-7317(14)80043-6
  9. Oser RF, Zuckerman DA, Gutierrez FR, Brink JA. Anatomic distribution of pulmonary emboli at pulmonary angiography: implications for cross-sectional imaging. Radiology 1996;199:31-5. https://doi.org/10.1148/radiology.199.1.8633168
  10. Yi CA, Lee KS, Choe YH, Han D, Kwon OJ, Kim S. Computed tomography in pulmonary artery sarcoma: distinguishing features from pulmonary embolic disease. J Comput Assist Tomogr 2004;28:34-9. https://doi.org/10.1097/00004728-200401000-00005

Cited by

  1. Angiosarcoma: clinical and imaging features from head to toe vol.90, pp.1075, 2015, https://doi.org/10.1259/bjr.20170039
  2. Intimal spindle cell sarcoma masquerading as adult-onset symptomatic pulmonic stenosis: a case report and review of the literature vol.12, pp.None, 2015, https://doi.org/10.1186/s13019-017-0654-9
  3. Primary Common Iliac Artery Angiosarcoma With Multiple Bone Metastases Revealed by Dual-Time Point FDG PET/CT Imaging vol.44, pp.3, 2015, https://doi.org/10.1097/rlu.0000000000002435
  4. Primary pulmonary angiosarcoma: case reports and review of the literature vol.27, pp.5, 2019, https://doi.org/10.1177/0218492319836910