Significance of Clinico-radiological Correlation in a Patient with Pulmonary Intimal Sarcoma Simulating as Pulmonary Thromboembolism
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P: 80-82
February 2023

Significance of Clinico-radiological Correlation in a Patient with Pulmonary Intimal Sarcoma Simulating as Pulmonary Thromboembolism

Mol Imaging Radionucl Ther 2023;32(1):80-82
1. All India Institute of Medical Sciences, Department of Radiodiagnosis, New Delhi, India
2. All India Institute of Medical Sciences, Department of Medical Oncology, New Delhi, India
3. All India Institute of Medical Sciences, Department of Pathology, New Delhi, India
No information available.
No information available
Received Date: 12.01.2022
Accepted Date: 01.04.2022
Publish Date: 23.02.2023
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ABSTRACT

Pulmonary intimal sarcoma (PAS) is a highly aggressive malignant mesenchymal tumor affecting the central pulmonary arteries. Similar clinical presentation and indeterminate laboratory parameters often result in misdiagnosis of this condition as pulmonary thromboembolism, which is a relatively common disease. Certain imaging features can however allow differentiation between these two diagnoses. We present one such case of PAS that was initially treated as pulmonary embolism; and briefly review the relevant imaging characteristics to avoid overlooking PAS especially in patients with an atypical clinical history for thromboembolism.

References

1
Scheidl S, Taghavi S, Reiter U, Tröster N, Kovacs G, Rienmüller R, Lang S, Klepetko W, Olschewski H. Intimal sarcoma of the pulmonary valve. Ann Thorac Surg 2010;89:e25-e27.
2
Burke A, Tavora FR, Maleszewski JJ, Fraizer AA. Tumors of the Heart and Great Vessels. In: AFIP Atlas of Tumor Pathology. 4th ed. Silver Spring, Md: American Registry of Pathology, 2015.
3
Mussot S, Ghigna MR, Mercier O, Fabre D, Fadel E, Le Cesne A, Simonneau G, Dartevelle P. Retrospective institutional study of 31 patients treated for pulmonary artery sarcoma. Eur J Cardiothorac Surg 2013;43:787-793.
4
Ropp AM, Burke AP, Kligerman SJ, Leb JS, Frazier AA. Intimal sarcoma of the great vessels. Radiographics 2021;41:361-379.
5
Kim C, Kim MY, Kang JW, Song JS, Lee KY, Kim SS. Pulmonary artery intimal sarcoma versus pulmonary artery thromboembolism: CT and clinical findings. Korean J Radiol 2018;19:792-802.
6
Cervilla-Muñoz E, Galeano-Valle F, Del-Toro-Cervera J, Calleja-Cartón E, Demelo-Rodríguez P. Differential diagnosis and treatment approach to pulmonary artery sarcoma: a case report and literature review. ERJ Open Res 2020;6:00124-2020.
7
Gan HL, Zhang JQ, Huang XY, Yu W. The wall eclipsing sign on pulmonary artery computed tomography angiography is pathognomonic for pulmonary artery sarcoma. PLoS One 2013;8:e83200.