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Primary Pulmonary Artery Osteosarcoma Mimicking Acute Pulmonary Artery Embolism - A case report-  

박상현 (한림대학교 의과대학 흉부외과학교실)
손정환 (한림대학교 의과대학 흉부외과학교실)
지현근 (한림대학교 의과대학 흉부외과학교실)
신윤철 (한림대학교 의과대학 흉부외과학교실)
유병수 (한림대학교 의과대학 흉부외과학교실)
박우정 (한림대학교 의과대학 내과학교실)
박혜림 (한림대학교 의과대학 병리학교실)
김응중 (한림대학교 의과대학 흉부외과학교실)
Publication Information
Journal of Chest Surgery / v.37, no.11, 2004 , pp. 929-932 More about this Journal
Abstract
The estimated relative incidence of primary pulmonary sarcoma to lung cancer is 0.4%. Furthermore, osteogenic sarcoma of the pulmonary artery is extremely rare. We report a case of a 63-year-old woman who visited our emergency room with the chief complaints of chest pain, dyspnea and dizziness. On echocardiography, right heart failure due to acute pulmonary artery embolism was diagnosed and we performed emergency operation. After opening the main pulmonary artery trunk, we found a mass attached to the arterial wall and massive thrombi around the mass. The mass was diagnosed as primary pulmonary artery osteosarcoma through postoperative evaluation. The patient received chemotherapy and radiotherapy. The patient is alive without specific symptoms 16 months postoperatively.
Keywords
Pulmonary embolism; Vascular neoplasm; Pulmonary arteries; Osteosarcoma;
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